Provider Demographics
NPI:1851489769
Name:MCCURDY, DEBORAH KERR (MD)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KERR
Last Name:MCCURDY
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 1:3835 LONGRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-4921
Mailing Address - Country:US
Mailing Address - Phone:818-501-7806
Mailing Address - Fax:310-825-9832
Practice Address - Street 1:10833 LE CONTE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1752
Practice Address - Country:US
Practice Address - Phone:310-206-1826
Practice Address - Fax:310-825-9832
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC409052080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C409050Medicaid
CAE98820Medicare UPIN