Provider Demographics
NPI:1194123570
Name:MAURICIO KURI MD PC
Entity type:Organization
Organization Name:MAURICIO KURI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PLASTIC SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:MAURICIO
Authorized Official - Middle Name:
Authorized Official - Last Name:KURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-705-4900
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-0865
Mailing Address - Country:US
Mailing Address - Phone:714-642-0089
Mailing Address - Fax:
Practice Address - Street 1:1815 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4219
Practice Address - Country:US
Practice Address - Phone:925-705-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-16
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA103935208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty