Healthcare Provider Details

I. General information

NPI: 1053334698
Provider Name (Legal Business Name): ALFRED LEWIS HURWITZ M D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALFRED LEWIS HURWITZ M.D.

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 07/06/2022
Certification Date: 07/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15899 LOS GATOS ALMADEN RD STE 11
LOS GATOS CA
95032-3739
US

IV. Provider business mailing address

15899 LOS GATOS ALMADEN RD STE 11
LOS GATOS CA
95032-3739
US

V. Phone/Fax

Practice location:
  • Phone: 408-294-4272
  • Fax: 408-294-1279
Mailing address:
  • Phone: 408-294-4272
  • Fax: 408-294-1279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG20286
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: