| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Keith Dale Curtis | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Keith | [sources] | |||
| Last name | Curtis | [sources] | |||
| Middle name | Dale | [sources] | |||
| NPI | 1912994146 | [sources] | |||
| Registration number | 00AX68850 · 20A 6885 | [sources] | |||
| Sector | Physician | [sources] | |||
| Unique Entity ID | W9PKFDYQZ997 | [sources] | |||
| Position | FAMILY PRACTICE (PHYSICIAN (MD, DO)) | [sources] | |||
| Address | 3405 CENTER ST, RIVERSIDE, CA 92501 · 6547 Coloma Way, Jurupa Valley, CA, 92509 · RIVERSIDE, CA 92501, USA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
People and companies excluded from Federally funded health care programs
United States · OIG
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-fed-excl-keith-dale-curtis-92501-riverside · us-medca-697aac6b88bcd46a610be52ed6f25812e5e6e3d2For experts: raw data explorer
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| United States | Department of Health Care Services | - | - |
| United States | OPM | Reciprocal | - |