Healthcare Provider Details

I. General information

NPI: 1639174303
Provider Name (Legal Business Name): SPERO CHRISTI HORINE DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: S. CHRIS HORINE DPM

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 SAMARITAN DR STE 509
SAN JOSE CA
95124-4015
US

IV. Provider business mailing address

2505 SAMARITAN DR STE 509
SAN JOSE CA
95124-4015
US

V. Phone/Fax

Practice location:
  • Phone: 408-358-2666
  • Fax: 408-358-7974
Mailing address:
  • Phone: 408-358-2666
  • Fax: 408-358-7974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE-1333
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberP-180
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: