Healthcare Provider Details

I. General information

NPI: 1316961204
Provider Name (Legal Business Name): FREDERICK LINDSEY CURTIS III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 05/17/2024
Certification Date: 05/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W HUNTINGTON DR
ARCADIA CA
91007-3402
US

IV. Provider business mailing address

PO BOX 7001
TARZANA CA
91357-7001
US

V. Phone/Fax

Practice location:
  • Phone: 626-445-4441
  • Fax: 626-821-6955
Mailing address:
  • Phone: 818-888-7815
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA55566
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: