Provider Demographics
NPI:1114181377
Name:HURTADO, ARTHUR I (DC)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:HURTADO
Suffix:I
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5015 CANYON CREST DR STE 109
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-6020
Mailing Address - Country:US
Mailing Address - Phone:951-682-2529
Mailing Address - Fax:
Practice Address - Street 1:5015 CANYON CREST DR STE 109
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-6020
Practice Address - Country:US
Practice Address - Phone:951-682-2529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor