Provider Demographics
NPI:1760460588
Name:COX, CURTIS STEPHENSON (MD)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:STEPHENSON
Last Name:COX
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 1:1 PRECIPICE
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-5920
Mailing Address - Country:US
Mailing Address - Phone:573-257-0240
Mailing Address - Fax:949-429-2462
Practice Address - Street 1:1 PRECIPICE
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-5920
Practice Address - Country:US
Practice Address - Phone:573-257-0240
Practice Address - Fax:949-429-2462
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-03
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO35395207T00000X
CAC128328208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201078615Medicaid
A12566Medicare UPIN
MO000003254Medicare ID - Type Unspecified