Provider Demographics
NPI:1164823456
Name:CURTO, PETER SR (LPT)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:CURTO
Suffix:SR
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 LA JOYA DR
Mailing Address - Street 2:
Mailing Address - City:NIPOMO
Mailing Address - State:CA
Mailing Address - Zip Code:93444-9664
Mailing Address - Country:US
Mailing Address - Phone:805-264-8702
Mailing Address - Fax:805-619-7193
Practice Address - Street 1:245 LA JOYA DR
Practice Address - Street 2:
Practice Address - City:NIPOMO
Practice Address - State:CA
Practice Address - Zip Code:93444-9664
Practice Address - Country:US
Practice Address - Phone:805-264-8702
Practice Address - Fax:805-619-7193
Is Sole Proprietor?:No
Enumeration Date:2014-09-05
Last Update Date:2014-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 37303167G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes167G00000XNursing Service ProvidersLicensed Psychiatric Technician