Healthcare Provider Details

I. General information

NPI: 1629088109
Provider Name (Legal Business Name): CURT M LITTLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 06/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10670 WEXFORD ST
SAN DIEGO CA
92131-3940
US

IV. Provider business mailing address

10670 WEXFORD ST
SAN DIEGO CA
92131-3940
US

V. Phone/Fax

Practice location:
  • Phone: 858-621-4010
  • Fax: 858-621-4051
Mailing address:
  • Phone: 858-621-4010
  • Fax: 858-621-4051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG48096
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberG48096
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: