Healthcare Provider Details

I. General information

NPI: 1295657740
Provider Name (Legal Business Name): HALIA CURAMMENG
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21712 ALVAREZ
MISSION VIEJO CA
92691-1234
US

IV. Provider business mailing address

21712 ALVAREZ
MISSION VIEJO CA
92691-1234
US

V. Phone/Fax

Practice location:
  • Phone: 949-542-0868
  • Fax:
Mailing address:
  • Phone: 949-542-0868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: