Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | G81713 | CA |
NPI | 1033287537 |
---|---|
Provider Name | Mario Curti |
First Address | Los Alamitos, CA 90720-3382 |
Second Address | Los Alamitos, CA 90720-3338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 03/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H11561 | (02) | CA |