MEDICARE: DR. PAMELA L. KURTZHALS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	A75524	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427038553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA L. KURTZHALS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 33865
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92163-3865
Country	:	US
Telephone Number	:	858-888-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	894 ROSEBERRY DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89138-7559
Country	:	US
Telephone Number	:	619-962-6868
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	07/31/2023

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