Organization
FREDERICK L CURTIS M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK L. CURTIS III M.D. (PRESIDENT)
(626) 536-5828
Entity
Organization
Contact information
Practice address
39 CONGRESS ST STE 310, PASADENA, CA 91105-3022
(626) 314-3245
Mailing address
41 W MIRA MONTE AVE, SIERRA MADRE, CA 91024-1226
(626) 536-5828
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A55566
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W21424
MEDICARE GROUP PTAN
CA
Enumeration date
02/02/2007
Last updated
05/17/2024
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