Individual
HURTIS JERON TULLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-8346
(310) 248-7390
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
30778
OK
207T00000X
Neurological Surgery Physician
Primary
C174323
CA
Other
Enumeration date
06/27/2014
Last updated
06/15/2022
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