Provider Demographics
NPI:1053363499
Name:MURATA, PAUL J (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:MURATA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:21311 MADRONA AVE
Mailing Address - Street 2:SUITE 100-A
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-4352
Mailing Address - Country:US
Mailing Address - Phone:310-792-4400
Mailing Address - Fax:310-542-5805
Practice Address - Street 1:21311 MADRONA AVE
Practice Address - Street 2:SUITE 100-A
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5970
Practice Address - Country:US
Practice Address - Phone:310-792-4400
Practice Address - Fax:310-542-5805
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2021-06-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG48272207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG48272SMedicare ID - Type UnspecifiedMEDICARE PPIN
A50989Medicare UPIN