Healthcare Provider Details

I. General information

NPI: 1205913621
Provider Name (Legal Business Name): ERNEST N. CURTIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 08/06/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 ATLANTIC AVE
LONG BEACH CA
90806
US

IV. Provider business mailing address

1913 E 17TH ST STE 118
SANTA ANA CA
92705-8627
US

V. Phone/Fax

Practice location:
  • Phone: 714-547-3346
  • Fax: 714-547-3252
Mailing address:
  • Phone: 714-547-3346
  • Fax: 714-547-3252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA26080
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: