Healthcare Provider Details

I. General information

NPI: 1306271762
Provider Name (Legal Business Name): JULIAN HORTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2013
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3680 WILSHIRE BLVD STE PO41074
LOS ANGELES CA
90010-2707
US

IV. Provider business mailing address

3680 WILSHIRE BLVD STE PO41074
LOS ANGELES CA
90010-2707
US

V. Phone/Fax

Practice location:
  • Phone: 323-522-4402
  • Fax:
Mailing address:
  • Phone: 323-522-4402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberA0004884
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License NumberA0004884
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA0004884
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License NumberA0004884
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: