Provider Demographics
NPI:1841265683
Name:CURTIS, GUY P (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:GUY
Middle Name:P
Last Name:CURTIS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2133 TOKALON ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110
Mailing Address - Country:US
Mailing Address - Phone:619-275-2437
Mailing Address - Fax:
Practice Address - Street 1:9850 GENESEE AVE STE 350
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1227
Practice Address - Country:US
Practice Address - Phone:858-886-7595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG29197207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G291970Medicaid
F241OtherCHAMPUS
060016296OtherRAILROAD MEDICARE
F241OtherCHAMPUS
CA00G291970Medicaid