Healthcare Provider Details

I. General information

NPI: 1043156474
Provider Name (Legal Business Name): HORIZON PSYCHOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10866 WASHINGTON BLVD # 18
CULVER CITY CA
90232-3610
US

IV. Provider business mailing address

10866 WASHINGTON BLVD # 18
CULVER CITY CA
90232-3610
US

V. Phone/Fax

Practice location:
  • Phone: 310-418-5509
  • Fax:
Mailing address:
  • Phone: 310-418-5509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: RICHARD LAUTENBACHER
Title or Position: CEO
Credential:
Phone: 310-418-5509