Healthcare Provider Details

I. General information

NPI: 1295342830
Provider Name (Legal Business Name): CURATIVE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2020
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 E ARROW HWY STE 201
SAN DIMAS CA
91773-3320
US

IV. Provider business mailing address

430 S CATARACT AVE
SAN DIMAS CA
91773-2902
US

V. Phone/Fax

Practice location:
  • Phone: 424-645-7575
  • Fax:
Mailing address:
  • Phone: 888-702-9042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. FREDERICK TURNER
Title or Position: CEO
Credential:
Phone: 650-713-8928