Provider Demographics
NPI:1871227959
Name:KURIA, ROY GITAU
Entity type:Individual
Prefix:
First Name:ROY
Middle Name:GITAU
Last Name:KURIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27730 SAND DOLLAR WAY
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92555-5766
Mailing Address - Country:US
Mailing Address - Phone:951-300-8295
Mailing Address - Fax:
Practice Address - Street 1:27730 SAND DOLLAR WAY
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-5766
Practice Address - Country:US
Practice Address - Phone:951-300-8295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA804680163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse