Healthcare Provider Details

I. General information

NPI: 1194532192
Provider Name (Legal Business Name): SAVANNAH CURDO MS, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2024
Last Update Date: 12/12/2024
Certification Date: 11/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 E CHAPMAN AVE STE 265
FULLERTON CA
92831-3108
US

IV. Provider business mailing address

11717 1/2 209TH ST
LAKEWOOD CA
90715-1336
US

V. Phone/Fax

Practice location:
  • Phone: 714-706-0206
  • Fax:
Mailing address:
  • Phone: 541-405-0803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number150010
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: