Healthcare Provider Details

I. General information

NPI: 1023496650
Provider Name (Legal Business Name): STEVEN CURTI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2015
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 N STATE ST
JACKSON MS
39216-4500
US

IV. Provider business mailing address

326 VILLAGE LN
LOS GATOS CA
95030-7276
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-6885
  • Fax: 601-984-5085
Mailing address:
  • Phone: 650-327-3232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License NumberA167583
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: