Provider Demographics
NPI:1508377409
Name:CURETOLOGY SURGICAL ONCOLOGY MEDICAL CORPORATION & ASSOCIATES
Entity Type:Organization
Organization Name:CURETOLOGY SURGICAL ONCOLOGY MEDICAL CORPORATION & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:CUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-261-7100
Mailing Address - Street 1:8950 W OLYMPIC BLVD STE 380
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3565
Mailing Address - Country:US
Mailing Address - Phone:213-261-7100
Mailing Address - Fax:
Practice Address - Street 1:1127 WILSHIRE BLVD STE 1604
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-4007
Practice Address - Country:US
Practice Address - Phone:213-261-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty