Healthcare Provider Details

I. General information

NPI: 1780820217
Provider Name (Legal Business Name): HURWITZ-ROBERTS A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 07/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 S CENTRAL AVE
GLENDALE CA
91204-2210
US

IV. Provider business mailing address

1019 S CENTRAL AVE
GLENDALE CA
91204-2210
US

V. Phone/Fax

Practice location:
  • Phone: 818-244-4374
  • Fax:
Mailing address:
  • Phone: 818-244-4374
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW S HURWITZ
Title or Position: PARTNER
Credential: M.D.
Phone: 818-244-4374