Healthcare Provider Details

I. General information

NPI: 1467057554
Provider Name (Legal Business Name): CURATIVE MEDICAL ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2020
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E HUNTINGTON DR STE 207
MONROVIA CA
91016-6353
US

IV. Provider business mailing address

605 E HUNTINGTON DR STE 207
MONROVIA CA
91016-6353
US

V. Phone/Fax

Practice location:
  • Phone: 888-702-9042
  • Fax: 833-520-5353
Mailing address:
  • Phone: 888-702-9042
  • Fax: 833-520-5353

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KI0005X
TaxonomyClinical & Laboratory Immunology (Allergy & Immunology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAMI WILSON-CIRANNA
Title or Position: SECRETARY
Credential:
Phone: 626-524-6077