# JEFFREY S HURLESS DPM A PROFESSIONAL PODIATRY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073865903
- **Authorized official:** JEFFREY S HURLESS DPM (OWNER)
- **Authorized official phone:** (805) 496-2383

## Contact information

- **Practice address:** 425 HAALAND DR STE 201, THOUSAND OAKS, CA 91361-5231
- **Practice address phone:** (805) 496-2383
- **Practice address fax:** (805) 496-2387
- **Mailing address:** 425 HAALAND DR STE 201, THOUSAND OAKS, CA 91361-5231
- **Mailing address phone:** (805) 496-2383
- **Mailing address fax:** (805) 496-2387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4207 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2012
- **Last updated:** 08/23/2013