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Individual

BRIAN HURLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MBA

Contact information

Practice address
10780 SANTA MONICA BLVD STE 105, LOS ANGELES, CA 90025-7613
(310) 903-9653
(310) 382-2089
Mailing address
10940 WILSHIRE BLVD STE 710, C/O CHRISTINA PUNZALAN, LOS ANGELES, CA 90095-7394
(323) 457-3675
(310) 382-2089

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
130543
CA
2084P0800X
Psychiatry Physician
Primary
130543
CA
2084P0802X
Addiction Psychiatry Physician
130543
CA

Other

Enumeration date
06/19/2009
Last updated
10/01/2015
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