Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | G78069 | CA |
NPI | 1306935689 |
---|---|
Provider Name | Dr. Mark A Curran |
First Address | West Covina, CA 91790-3937 |
Second Address | West Covina, CA 91790-3937 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2006 |
Last Update Date | 09/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G73973 | (02) | CA |