Hurtado, Elie

Hurtado, Elie is an individual health care provider with primary practice located at 572 N Arrowhead Ave , San Bernardino CA 92401-1251. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Hurtado, Elie can be contacted via phone (408) 364-4004.

Contact Information

Primary practice address
572 N Arrowhead Ave San Bernardino CA 92401-1251
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1104950567
LBN Legal business name Hurtado, Elie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Nov 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104950567 NPPES
California Other ICAN760 LADMH STAFF CODE

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