MEDICARE: TIMOTHY CURTIS SIMMONS SR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

General Provider Information

NPI Number	:	1124199427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY CURTIS SIMMONS SR. M.D.

Provider Business Mailing Address
First Line	:	46 E PENINSULA CENTER DRIVE #134
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274
Country	:	US
Telephone Number	:	562-257-6110
Fax Number	:	562-391-4481

Provider Business Practice Location Address
First Line	:	3816 WOODRUFF AVE STE 411
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-2146
Country	:	US
Telephone Number	:	562-257-6110
Fax Number	:	562-391-4481

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2006
Last Update Date	:	04/09/2020

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