MEDICARE: DR. MICHAEL B. HURWITZ M.D.

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	208600000X	Surgery Physician	A48266	CA

General Provider Information

NPI Number	:	1437179595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL B. HURWITZ M.D.

Provider Business Mailing Address
First Line	:	3334 E COAST HWY STE 176
Second Line	:
City	:	CORONA DEL MAR
State	:	CA
Zip	:	92625-2328
Country	:	US
Telephone Number	:	949-631-4890
Fax Number	:	949-631-4008

Provider Business Practice Location Address
First Line	:	1901 WESTCLIFF DR STE 2
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-5505
Country	:	US
Telephone Number	:	949-631-4890
Fax Number	:	949-631-4008

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

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	12/02/2010

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