Individual
JORGE KUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4601 DALE RD, MODESTO, CA 95356-9718
(209) 735-5838
(209) 957-5339
Mailing address
4601 DALE RD, ANESTHESIOLOGY DEPARTMENT, MODESTO, CA 95356-9718
(209) 735-5838
(209) 957-5339
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A50263
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A50263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A502630
—
CA
Enumeration date
07/07/2006
Last updated
12/14/2021
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