Provider Demographics
NPI:1750383766
Name:HURWITZ, ANDREW S (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:S
Last Name:HURWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1019 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91204-2210
Mailing Address - Country:US
Mailing Address - Phone:818-244-4374
Mailing Address - Fax:818-244-0633
Practice Address - Street 1:1019 S CENTRAL AVE
Practice Address - Street 2:SUITE 530
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91204-2210
Practice Address - Country:US
Practice Address - Phone:818-244-4374
Practice Address - Fax:818-244-0633
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG75481208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0086630Medicaid
CA1750383765Medicare PIN
CAG32886Medicare UPIN