Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | G 73091 | CA |
NPI | 1831266048 |
---|---|
Provider Name | Dr. Paul Scott Kurtin |
First Address | Del Mar, CA 92014-3907 |
Second Address | Del Mar, CA 92014-3907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 08/07/2007 |