Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | C40905 | CA |
NPI | 1851489769 |
---|---|
Provider Name | Deborah Kerr Mccurdy |
First Address | Sherman Oaks, CA 91423-4921 |
Second Address | Los Angeles, CA 90095-1752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 15/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C409050 | (05) | CA |
E98820 | (02) | CA |