Healthcare Provider Details

I. General information

NPI: 1225875123
Provider Name (Legal Business Name): JUNIPER HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 EAST ST STE B
REDDING CA
96001-0834
US

IV. Provider business mailing address

3689 EUREKA WAY STE B
REDDING CA
96001-0177
US

V. Phone/Fax

Practice location:
  • Phone: 530-395-2610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JESSE CURRAN
Title or Position: OWNER
Credential: MD
Phone: 530-395-2610