Healthcare Provider Details

I. General information

NPI: 1669411690
Provider Name (Legal Business Name): JOEL ARNOLD HURVITZ M.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16111 PLUMMER ST
NORTH HILLS CA
91343-2036
US

IV. Provider business mailing address

4946 SUNNYSLOPE AVE
SHERMAN OAKS CA
91423-1406
US

V. Phone/Fax

Practice location:
  • Phone: 818-895-9382
  • Fax: 818-895-5886
Mailing address:
  • Phone: 818-895-9382
  • Fax: 818-895-5886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU82
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: