| Organization Name: | 1. JILL FURGURSON, M.D., INC. |
| NPI Number: | 1184975948 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JILL E. FURGURSON (PRESIDENT) |
| Mailing Address: | 23656 Pacific Coast Hwy Malibu |
| State: | CA US |
| Postal Code: | 902654800 |
| Phone Number: | 3104567551 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2012 |
| NPI Last Update Date: | 09/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | G36815 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |