Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A172579 | CA |
Y | 208200000X | Surgeon | A172579 | CA |
Y | 208600000X | Surgeon | A172579 | CA |
NPI | 1770901449 |
---|---|
Provider Name | Julian Horwitz |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Los Angeles, CA 90095-6501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2014 |
Last Update Date | 05/08/2021 |