Healthcare Provider Details

I. General information

NPI: 1851669386
Provider Name (Legal Business Name): HELEN HORVATH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2011
Last Update Date: 02/16/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 MARINA BLVD STE 600
BRISBANE CA
94005-1887
US

IV. Provider business mailing address

2 KORET WAY # 608
SAN FRANCISCO CA
94143-2218
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-3577
  • Fax:
Mailing address:
  • Phone: 415-476-1901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number21128
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: