1316365786 NPI number — MEREDITH LANA CURTIS LAGUNA MD, MPH

Table of content: MEREDITH LANA CURTIS LAGUNA MD, MPH (NPI 1316365786)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316365786 NPI number — MEREDITH LANA CURTIS LAGUNA MD, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAGUNA
Provider First Name:
MEREDITH
Provider Middle Name:
LANA CURTIS
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD, MPH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CURTIS
Provider Other First Name:
MEREDITH
Provider Other Middle Name:
LANA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1316365786
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
550 16TH ST FL 4
Provider Second Line Business Mailing Address:
MISSION HALL BLDG., UCSF MEDICAL EDUCATION, PEDIATRICS
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94158-2545
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-476-6245
Provider Business Mailing Address Fax Number:
415-476-5354

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
550 16TH ST FL 4
Provider Second Line Business Practice Location Address:
MISSION HALL BLDG., UCSF MEDICAL EDUCATION, PEDIATRICS
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94158-2545
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-476-6245
Provider Business Practice Location Address Fax Number:
415-476-5354
Provider Enumeration Date:
04/02/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  A141438 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)