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NPI Code Detail

MEDICARE: MR. CARL WILLIAM BUCKHORN M.D.

MEDICARE:  MR. CARL WILLIAM BUCKHORN  M.D.
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
1207R00000XInternal Medicine PhysicianG73630CA

General Provider Information

NPI Number : 1649264847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CARL WILLIAM BUCKHORN M.D.
Provider Business Mailing Address
First Line : 18200 YORBA LINDA BLVD
Second Line : STE 401
City : YORBA LINDA
State : CA
Zip : 92886-4056
Country : US
Telephone Number : 714-646-8000
Fax Number : 714-572-2562
Provider Business Practice Location Address
First Line : 18300 YORBA LINDA BLVD
Second Line : STE 204
City : YORBA LINDA
State : CA
Zip : 92886-4052
Country : US
Telephone Number : 714-577-6031
Fax Number : 714-572-2562
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 07/14/2009

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Directions to “ MR. CARL WILLIAM BUCKHORN M.D.” Practice Location

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