Healthcare Provider Details

I. General information

NPI: 1003093816
Provider Name (Legal Business Name): TARYN HURVITZ AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2008
Last Update Date: 07/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 ADOLFO ROAD VENTURA COUNTY OFFICE OF EDUCATION
CAMARILLO CA
93012
US

IV. Provider business mailing address

5100 ADOLFO RD
CAMARILLO CA
93012-6792
US

V. Phone/Fax

Practice location:
  • Phone: 805-437-1389
  • Fax:
Mailing address:
  • Phone: 805-437-1389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number2574
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: