Healthcare Provider Details

I. General information

NPI: 1124748223
Provider Name (Legal Business Name): DAVID S HURFF
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 03/31/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NMRTC CAMP PENDELTON 200 MERCY CIRCLE
OCEANSIDE CA
92055
US

IV. Provider business mailing address

NMRTC CAMP PENDLETON 200 MERCY CIRCLE
OCEANSIDE CA
92055
US

V. Phone/Fax

Practice location:
  • Phone: 760-725-1288
  • Fax:
Mailing address:
  • Phone: 760-725-1288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA18500
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA65099
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: