Provider Demographics
NPI:1467951996
Name:MUNIZ, KURT ANTHONY II
Entity Type:Individual
Prefix:MR
First Name:KURT
Middle Name:ANTHONY
Last Name:MUNIZ
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8730 E AVENUE T4
Mailing Address - Street 2:
Mailing Address - City:LITTLEROCK
Mailing Address - State:CA
Mailing Address - Zip Code:93543-2713
Mailing Address - Country:US
Mailing Address - Phone:949-205-8167
Mailing Address - Fax:
Practice Address - Street 1:8730 E AVENUE T4
Practice Address - Street 2:
Practice Address - City:LITTLEROCK
Practice Address - State:CA
Practice Address - Zip Code:93543-2713
Practice Address - Country:US
Practice Address - Phone:949-205-8167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-10
Last Update Date:2018-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)