MEDICARE: STEVE MICHAEL KURIYAMA MD

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	207RI0200X	Infectious Disease Physician	G46547	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

General Provider Information

NPI Number	:	1962412981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE MICHAEL KURIYAMA MD

Provider Business Mailing Address
First Line	:	122 CIVIC CENTER DR
Second Line	:	SUITE 101
City	:	VISTA
State	:	CA
Zip	:	92084-6040
Country	:	US
Telephone Number	:	760-806-9263
Fax Number	:	760-806-9264

Provider Business Practice Location Address
First Line	:	122 CIVIC CENTER DR
Second Line	:	SUITE 101
City	:	VISTA
State	:	CA
Zip	:	92084-6040
Country	:	US
Telephone Number	:	760-806-9263
Fax Number	:	760-806-9264

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	01/20/2012

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