MEDICARE: GENE HURWIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	4463	CA

General Provider Information

NPI Number	:	1396811477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENE HURWIN

Provider Business Mailing Address
First Line	:	3624 WESLEY ST
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2435
Country	:	US
Telephone Number	:	310-237-3972
Fax Number	:	310-496-0512

Provider Business Practice Location Address
First Line	:	3624 WESLEY ST
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90232-2435
Country	:	US
Telephone Number	:	310-837-7849
Fax Number	:	310-496-0512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	10/17/2013

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