NPI Code Details Logo

NPI 1689490948

NPI 1689490948 : CURA VITAE : CONCORD, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689490948
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CURA VITAE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/02/2024
-----------------------------------------------------
    Last Update Date     |    12/02/2024
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1257 WILLOW PASS RD 
-----------------------------------------------------
    City                 |    CONCORD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94520-5218
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    650-245-7144
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1257 WILLOW PASS RD 
-----------------------------------------------------
    City                 |    CONCORD
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94520-5218
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     GRETA  GORE 
-----------------------------------------------------
    Credential           |    OWNER
-----------------------------------------------------
    Telephone            |    650-245-7144
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QU0200X
-----------------------------------------------------
    Taxonomy Name        |    Urgent Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.