Provider Demographics
NPI:1093871204
Name:HURDLE, CHRISTOPHER FRANCIS (AUD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:FRANCIS
Last Name:HURDLE
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93448-0368
Mailing Address - Country:US
Mailing Address - Phone:805-614-4800
Mailing Address - Fax:805-614-4324
Practice Address - Street 1:210 S PALISADE DR
Practice Address - Street 2:SUITE 204
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-8901
Practice Address - Country:US
Practice Address - Phone:805-614-4800
Practice Address - Fax:805-614-4324
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
CAAU1618231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACS139ZMedicare PIN
CAAUD1618Medicare PIN
CACS139YMedicare PIN