Healthcare Provider Details
I. General information
NPI: 1699479352
Provider Name (Legal Business Name): CUREX MEDICAL OF CALIFORNIA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2023
Last Update Date: 01/29/2024
Certification Date: 01/29/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
502 TORRANCE BLVD
REDONDO BEACH CA
90277-3413
US
IV. Provider business mailing address
1430 S DIXIE HWY STE 105
CORAL GABLES FL
33146-3108
US
V. Phone/Fax
- Phone: 813-997-2099
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207KA0200X |
| Taxonomy | Allergy Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSHUA
DAVIDSON
Title or Position: PRESIDENT
Credential: MD
Phone: 813-997-2099