Healthcare Provider Details

I. General information

NPI: 1689490948
Provider Name (Legal Business Name): CURA VITAE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2024
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1257 WILLOW PASS RD
CONCORD CA
94520-5218
US

IV. Provider business mailing address

1257 WILLOW PASS RD
CONCORD CA
94520-5218
US

V. Phone/Fax

Practice location:
  • Phone: 650-245-7144
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GRETA GORE
Title or Position: OWNER
Credential: OWNER
Phone: 650-245-7144