DR. ERIC ROBERT HORTON M.D. NPI 1033288071

NPI Information

NPI: 1033288071
Provider Name: DR. ERIC ROBERT HORTON, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
5555 RESERVOIR DR STE 104
SAN DIEGO, CA
ZIP 92120
Phone: (619) 286-6930
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DR. Eric Robert Horton, M.D. is a specialist in San Diego, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Eric Robert Horton, M.D. NPI is 1033288071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5555 RESERVOIR DR STE 104
SAN DIEGO, CA
ZIP 92120-198
Phone: (619) 286-6930
Fax: (619) 286-9438

The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		G76177	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	00G761770	MEDICAID	CALIFORNIA
2	G29708	MEDICARE UPIN	CALIFORNIA
3	WG76177A	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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