Provider Demographics
NPI:1366569121
Name:PERRY, CURTIS JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:JOHN
Last Name:PERRY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15141 WHITTIER BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-2170
Mailing Address - Country:US
Mailing Address - Phone:562-315-5700
Mailing Address - Fax:800-390-5344
Practice Address - Street 1:15141 WHITTIER BLVD STE 205
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-2170
Practice Address - Country:US
Practice Address - Phone:562-315-5700
Practice Address - Fax:800-390-5344
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-24
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
RIRI077292082S0099X
CAG88980208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2082S0099XAllopathic & Osteopathic PhysiciansPlastic SurgeryPlastic Surgery Within the Head and Neck