Organization
HURTT FAMILY HEALTH CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BECKY CARTER (EXECUTIVE DIRECTOR)
(714) 247-8044
Entity
Organization
Contact information
Practice address
1 HOPE DRIVE, TUSTIN, CA 92782-0221
(714) 247-0300
(714) 259-1598
Mailing address
1 HOPE DRIVE, TUSTIN, CA 92782-0221
(714) 247-0300
(714) 259-1598
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMM70904F
—
CA
Enumeration date
03/28/2007
Last updated
11/26/2019
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