Provider Demographics
NPI:1881668812
Name:CURTIS, ROBERT S (DC)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:CURTIS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2675 E SLAUSON AVENUE
Mailing Address - Street 2:ALL CARE MEDICAL GROUP INC
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255
Mailing Address - Country:US
Mailing Address - Phone:323-589-6681
Mailing Address - Fax:323-584-2505
Practice Address - Street 1:2675 E SLAUSON AVENUE
Practice Address - Street 2:ALL CARE MEDICAL GROUP INC
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255
Practice Address - Country:US
Practice Address - Phone:323-589-6681
Practice Address - Fax:323-584-2505
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0040370Medicaid
CAGR0040370Medicaid