Provider Demographics
NPI:1861557985
Name:KARIE MCMURRAY MD INC A MEDICAL CORPORATION
Entity type:Organization
Organization Name:KARIE MCMURRAY MD INC A MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KARIE
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCMURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-371-4700
Mailing Address - Street 1:415 E ROLLING OAKS DR
Mailing Address - Street 2:SUITE 260
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361
Mailing Address - Country:US
Mailing Address - Phone:805-371-4700
Mailing Address - Fax:805-371-4713
Practice Address - Street 1:415 E ROLLING OAKS DR
Practice Address - Street 2:SUITE 260
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361
Practice Address - Country:US
Practice Address - Phone:805-371-4700
Practice Address - Fax:805-371-4713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60307207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G60307Medicaid
CAG60307Medicare ID - Type Unspecified
E27139Medicare UPIN