Healthcare Provider Details

I. General information

NPI: 1417117417
Provider Name (Legal Business Name): MAIJA HELENA TUULIA KIURU MD/PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 03/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 C ST SUITE 1450
SACRAMENTO CA
95816-3300
US

IV. Provider business mailing address

3301 C ST SUITE 1450
SACRAMENTO CA
95816-3300
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-6373
  • Fax:
Mailing address:
  • Phone: 916-734-6373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number130177
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number130177
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: