Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A70841 | CA |
NPI | 1023086410 |
---|---|
Provider Name | Brent Culver |
First Address | Los Altos, CA 94022-1408 |
Second Address | Santa Cruz, CA 95062-1323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 05/03/2020 |