Healthcare Provider Details

I. General information

NPI: 1174692131
Provider Name (Legal Business Name): ARASH A. HORIZON, M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 02/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9001 WILSHIRE BLVD SUITE 200
BEVERLY HILLS CA
90211-1838
US

IV. Provider business mailing address

9001 WILSHIRE BLVD SUITE 200
BEVERLY HILLS CA
90211-1838
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-7878
  • Fax: 310-659-7117
Mailing address:
  • Phone: 310-659-7878
  • Fax: 310-659-7117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA69767
License Number StateCA

VIII. Authorized Official

Name: ARASH A HORIZON
Title or Position: OWNER
Credential: M.D.
Phone: 310-659-7878