Healthcare Provider Details

I. General information

NPI: 1790204782
Provider Name (Legal Business Name): DAVID HURWITZ CADC - II
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2017
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11027 BURBANK BLVD
NORTH HOLLYWOOD CA
91601-2431
US

IV. Provider business mailing address

11027 BURBANK BLVD
NORTH HOLLYWOOD CA
91601-2431
US

V. Phone/Fax

Practice location:
  • Phone: 818-985-8323
  • Fax:
Mailing address:
  • Phone: 818-985-8323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberA057310620
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: