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NPI Code Detail

MEDICARE: ANDREW HORN MD

MEDICARE: ANDREW HORN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) PhysicianA201607CA

General Provider Information

NPI Number : 1497374128
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW HORN MD
Provider Business Mailing Address
First Line : 1203 FLYNN RD UNIT 160
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-6203
Country : US
Telephone Number : 805-804-4168
Fax Number : 805-830-1177
Provider Business Practice Location Address
First Line : 2221 WANKEL WAY
Second Line :
City : OXNARD
State : CA
Zip : 93030-0192
Country : US
Telephone Number : 805-988-9366
Fax Number : 805-483-3747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2020
Last Update Date : 06/05/2026

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