Healthcare Provider Details

I. General information

NPI: 1245258847
Provider Name (Legal Business Name): CURE ALL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 05/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5810 MONTEREY RD
LOS ANGELES CA
90042-4926
US

IV. Provider business mailing address

PO BOX 39497
LOS ANGELES CA
90039-0497
US

V. Phone/Fax

Practice location:
  • Phone: 323-344-8836
  • Fax:
Mailing address:
  • Phone: 323-344-8836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number101716
License Number StateCA

VIII. Authorized Official

Name: MR. ANTONIO OBRIQUE
Title or Position: VICE PRESIDENT
Credential:
Phone: 323-244-8836