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General NPI Number Information
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NPI Number | 1689071946
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Entity Type | Organization
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Legal Business Name | CURTIS F. VEAL, MD, INC
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Dates
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Enumeration Date | 12/02/2014
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 3019 WASHINGTON BLVD
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City | MARINA DEL REY
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State | CA
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Zip | 90292-5548
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Country | US
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Telephone | 206-696-2897
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 PENMAR AVE
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City | VENICE
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State | CA
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Zip | 90291-2940
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Country | US
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Telephone | 206-696-2897
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CURTIS F VEAL JR.
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Credential | MD
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Telephone | 206-696-2897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA21928
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 89346
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License Number State | CA
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