Organization
KATHLEEN HURWITZ M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN FORD (BILLER)
(951) 694-6102
Entity
Organization
Contact information
Practice address
25395 HANCOCK AVE, SUITE 250, MURRIETA, CA 92562-9054
(951) 698-0300
(951) 698-3719
Mailing address
25395 HANCOCK AVE, SUITE 250, MURRIETA, CA 92562-9054
(951) 698-0300
(951) 698-3719
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G61204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G612040
—
CA
Enumeration date
01/23/2012
Last updated
01/23/2012
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