MEDICARE: ROBERT P CULVER JR. P.A-C

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	363A00000X	Physician Assistant	PA 15553	CA

General Provider Information

NPI Number	:	1811916315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT P CULVER JR. P.A-C

Provider Business Mailing Address
First Line	:	710 N EUCLID ST
Second Line	:	SUITE 201
City	:	ANAHEIM
State	:	CA
Zip	:	92801-4122
Country	:	US
Telephone Number	:	714-991-5002
Fax Number	:	714-517-2139

Provider Business Practice Location Address
First Line	:	710 N EUCLID ST
Second Line	:	SUITE 201
City	:	ANAHEIM
State	:	CA
Zip	:	92801-4122
Country	:	US
Telephone Number	:	714-991-5002
Fax Number	:	714-517-2139

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	03/07/2023

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