Individual
JILL E. FURGURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 652-5051
(805) 585-3007
Mailing address
23941 DE VILLE WAY, MALIBU, CA 90265-4894
(310) 456-3036
(310) 456-2451
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
G36815
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050394
BLUE CROSS
CA
01
—
95-1683892
OTHER INSURANCE
CA
05
—
HSC30394F
—
CA
05
—
ZZT40394F
—
CA
01
—
ZZZ53994Z
BLUE SHIELD
CA
01
—
ZZZA56032
BLUE SHIELD
CA
Enumeration date
11/22/2006
Last updated
07/11/2012
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