Provider Demographics
NPI:1073791422
Name:ALAIN M HURDLE, MD, INC
Entity Type:Organization
Organization Name:ALAIN M HURDLE, MD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HURDLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-922-6641
Mailing Address - Street 1:220 S PALISADE DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-8902
Mailing Address - Country:US
Mailing Address - Phone:805-922-6641
Mailing Address - Fax:805-922-5927
Practice Address - Street 1:220 S PALISADE DR
Practice Address - Street 2:SUITE 102
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-8902
Practice Address - Country:US
Practice Address - Phone:805-922-6641
Practice Address - Fax:805-922-5927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA58515Medicare UPIN