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JEFFREY S HURLESS DPM A PROFESSIONAL PODIATRY CORPORATION NPI 1073865903


NPI Information

NPI: 1073865903
Provider Name: JEFFREY S HURLESS DPM A PROFESSIONAL PODIATRY CORPORATION
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
425 HAALAND DR STE 201
THOUSAND OAKS, CA
ZIP 91361
Phone: (805) 496-2383
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JEFFREY S HURLESS DPM A PROFESSIONAL PODIATRY CORPORATION is a foot and ankle surgery podiatrist in Thousand Oaks, CA. JEFFREY S HURLESS DPM A PROFESSIONAL PODIATRY CORPORATION NPI is 1073865903. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

425 HAALAND DR STE 201
THOUSAND OAKS, CA
ZIP 91361-231
Phone: (805) 496-2383
Fax: (805) 496-2387

The provider's authorized official is Jeffrey S Hurless .
The authorized official title is Owner and has the following contact phone number (805) 496-2383.

The enumeration date for this NPI number is 10/2/2012 and was last updated on 8/23/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE4207CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16730420001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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