Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 20A4525 | CA |
NPI | 1194814020 |
---|---|
Provider Name | Dr. Michael Z Kurtz |
First Address | Garden Grove, CA 92845-2032 |
Second Address | Garden Grove, CA 92845-2032 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 08/02/2022 |