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General NPI Number Information
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NPI Number | 1245152719
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Entity Type | Organization
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Legal Business Name | LA CURA COLLECTIVE CORP.
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 255 BARBEE CT
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City | MARINA
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State | CA
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Zip | 93933-5003
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Country | US
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Telephone | 831-292-8328
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 COTTAGE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95825-1474
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | YEFRY SAMAEL MATA DIAZ
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Credential |
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Telephone | 831-292-8328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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