Provider Demographics
NPI:1881859304
Name:KIKI L HURT, MD APC
Entity Type:Organization
Organization Name:KIKI L HURT, MD APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGIST/ INTERNIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIKI
Authorized Official - Middle Name:LOLITA
Authorized Official - Last Name:HURT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-394-7376
Mailing Address - Street 1:1100 S HOPE ST APT 1116
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-2190
Mailing Address - Country:US
Mailing Address - Phone:562-394-7376
Mailing Address - Fax:
Practice Address - Street 1:1100 S HOPE ST APT 1116
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-2190
Practice Address - Country:US
Practice Address - Phone:562-394-7376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96718207L00000X, 207LC0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty