Healthcare Provider Details

I. General information

NPI: 1073058087
Provider Name (Legal Business Name): BRIAN HARRIS HORWICH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2016
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date: 03/16/2018
Reactivation Date: 03/27/2018

III. Provider practice location address

1223 16TH ST STE 3100
SANTA MONICA CA
90404-1275
US

IV. Provider business mailing address

5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US

V. Phone/Fax

Practice location:
  • Phone: 310-582-6240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberA164684
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RT0003X
TaxonomyTransplant Hepatology Physician
License NumberA164684
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA164684
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: