Provider Demographics
NPI:1598754079
Name:CURRAN, PERRIN (MD)
Entity Type:Individual
Prefix:
First Name:PERRIN
Middle Name:
Last Name:CURRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 VISTA WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4559
Mailing Address - Country:US
Mailing Address - Phone:760-945-1894
Mailing Address - Fax:760-630-1252
Practice Address - Street 1:3601 VISTA WAY STE 201
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4559
Practice Address - Country:US
Practice Address - Phone:760-945-1894
Practice Address - Fax:760-630-1252
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-18
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA200874468OtherPRIVATE PRACTICE TAX ID
CA000G81090Medicaid
CAA58220Medicare UPIN
CAW18053Medicare PIN