Healthcare Provider Details

I. General information

NPI: 1760656169
Provider Name (Legal Business Name): MICHELLE CATHLEEN HURE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 03/14/2025
Certification Date: 03/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31899 DEL OBISPO ST STE 130
SAN JUAN CAPISTRANO CA
92675-3234
US

IV. Provider business mailing address

31899 DEL OBISPO ST STE 130
SAN JUAN CAPISTRANO CA
92675-3234
US

V. Phone/Fax

Practice location:
  • Phone: 959-359-6400
  • Fax: 307-392-0155
Mailing address:
  • Phone: 949-359-6400
  • Fax: 307-392-0155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License NumberA112182
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: