# DR MURRAY TAUBMAN AN OPTOMETRIC CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194032169
- **Authorized official:** DR. MURRAY TAUBMAN O.D. (PRESIDENT)
- **Authorized official phone:** (714) 894-3353

## Contact information

- **Practice address:** 12568 VALLEY VIEW ST, GARDEN GROVE, CA 92845-2006
- **Practice address phone:** (714) 894-3353
- **Practice address fax:** (714) 373-0670
- **Mailing address:** 12568 VALLEY VIEW ST, GARDEN GROVE, CA 92845-2006
- **Mailing address phone:** (714) 894-3353
- **Mailing address fax:** (714) 373-0670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 6125T | CA | Yes |

## Other

- **Enumeration date:** 09/10/2010
- **Last updated:** 09/21/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P00939988 | RAILROAD MEDICARE PTAN | CA |
| 05 | — | SD0061250 | — | CA |