Doctor Name: | JOHN ANDREW HORTON |
NPI Number: | 1265492508 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | G21176 |
Business Practice Address: | 1240 Westlake Blvd Suite 231 Westlake Village, CA - 913611929 |
Business Phone Number: | 8054464444 |
Business Fax Number: | 8053719239 |
Mailing Address: | 1240 Westlake Blvd, Suite 231 WESTLAKE VILLAGE |
State: | CA |
Postal Code: | 913611929 |
Phone Number: | 8054464444 |
Fax Number: | 8053719239 |
NPI Enumeration Date: | 03/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | G21176 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |