Individual
KEVIN M LIN-HURTUBISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
316 S STRATFORD AVE STE C, SANTA MARIA, CA 93454-5908
(805) 348-3700
(805) 348-3730
Mailing address
1400 E CHURCH ST, MEDICAL STAFF OFFICE, SANTA MARIA, CA 93454
(805) 739-3114
(805) 739-3502
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G88017
CA
208600000X
Surgery Physician
MD11684
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501082
—
HI
Enumeration date
06/22/2006
Last updated
10/13/2020
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