MEDICARE: PERRIN CURRAN 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200874468	OTHER	CA	PRIVATE PRACTICE TAX ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598754079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERRIN CURRAN M.D.

Provider Business Mailing Address
First Line	:	3601 VISTA WAY STE 201
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4559
Country	:	US
Telephone Number	:	760-945-1894
Fax Number	:	760-630-1252

Provider Business Practice Location Address
First Line	:	3601 VISTA WAY STE 201
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-4559
Country	:	US
Telephone Number	:	760-945-1894
Fax Number	:	760-630-1252

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	10/11/2011

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Directions to “ PERRIN CURRAN M.D.” Practice Location

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