1841357183 NPI number — DR. DAPHNE SARAH HOROWITZ MD

Table of content: DR. DAPHNE SARAH HOROWITZ MD (NPI 1841357183)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841357183 NPI number — DR. DAPHNE SARAH HOROWITZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOROWITZ
Provider First Name:
DAPHNE
Provider Middle Name:
SARAH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BARAK
Provider Other First Name:
DAPHNE
Provider Other Middle Name:
SARAH
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841357183
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/23/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
27420 TOURNEY RD STE 150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VALENCIA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91355-5632
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-259-8999
Provider Business Mailing Address Fax Number:
661-705-0110

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27420 TOURNEY RD STE 150
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VALENCIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91355
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-259-8999
Provider Business Practice Location Address Fax Number:
661-705-0110
Provider Enumeration Date:
01/03/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  A51632 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)