Provider Demographics
NPI:1518018217
Name:CURTIS, JANE DIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:DIANA
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:720 NORTHTUSTIN AVENUE, SUITE 103
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3606
Mailing Address - Country:US
Mailing Address - Phone:714-541-3001
Mailing Address - Fax:714-541-5286
Practice Address - Street 1:720 N TUSTIN AVE STE 103
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3606
Practice Address - Country:US
Practice Address - Phone:714-541-3001
Practice Address - Fax:714-541-5286
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG56428207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA93435Medicare UPIN