Provider Demographics
NPI:1396811477
Name:HURWIN, GENE
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:
Last Name:HURWIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3624 WESLEY ST
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2435
Mailing Address - Country:US
Mailing Address - Phone:310-237-3972
Mailing Address - Fax:310-496-0512
Practice Address - Street 1:3624 WESLEY ST
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-2435
Practice Address - Country:US
Practice Address - Phone:310-837-7849
Practice Address - Fax:310-496-0512
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4463225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist