Healthcare Provider Details

I. General information

NPI: 1316235815
Provider Name (Legal Business Name): CAROLINE JULIE CURRIE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2011
Last Update Date: 01/14/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10725 INTERNATIONAL DR
RANCHO CORDOVA CA
95670-7967
US

IV. Provider business mailing address

741 34TH ST
SACRAMENTO CA
95816-3821
US

V. Phone/Fax

Practice location:
  • Phone: 650-868-9398
  • Fax:
Mailing address:
  • Phone: 650-868-9398
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA124364
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA124364
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: