Healthcare Provider Details
I. General information
NPI: 1841855244
Provider Name (Legal Business Name): ARCURE MEDICAL CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/01/2019
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
831 S LAKE ST
LOS ANGELES CA
90057-4013
US
IV. Provider business mailing address
100 S SANTA FE AVE APT 611
LOS ANGELES CA
90013-2907
US
V. Phone/Fax
- Phone: 213-380-9175
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
DAVID
ARCURE
Title or Position: OWNER
Credential: MD
Phone: 323-371-0603