Provider Demographics
NPI:1417193103
Name:CURCIO, JOE (L AC)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:CURCIO
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:CURCIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:L AC
Mailing Address - Street 1:331 RICHMOND ST
Mailing Address - Street 2:
Mailing Address - City:EL SEGUNDO
Mailing Address - State:CA
Mailing Address - Zip Code:90245-3729
Mailing Address - Country:US
Mailing Address - Phone:310-335-0073
Mailing Address - Fax:310-335-0073
Practice Address - Street 1:331 RICHMOND ST
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-3729
Practice Address - Country:US
Practice Address - Phone:310-335-0073
Practice Address - Fax:310-335-0073
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8689171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist