Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | A45008 | CA |
NPI | 1184698003 |
---|---|
Provider Name | Michael P Curley |
First Address | Hemet, CA 92543-3814 |
Second Address | Murrieta, CA 92562-8117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 05/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C14959 | (02) | CA |