Healthcare Provider Details

I. General information

NPI: 1891142626
Provider Name (Legal Business Name): PATRICIA HURTADO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2016
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 SOUTH S. C STREET, STE D
OXNARD CA
93033
US

IV. Provider business mailing address

2500 SOUTH S. C STREET, STE D, OXNARD 93033, CALIFORNIA
OXNARD CA
93033
US

V. Phone/Fax

Practice location:
  • Phone: 805-385-9460
  • Fax:
Mailing address:
  • Phone: 805-385-9460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: