Healthcare Provider Details

I. General information

NPI: 1073479671
Provider Name (Legal Business Name): MAURICE MICHAEL HORTON PHARMD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10191 GLEN BRAE TRL
SANTEE CA
92071-7214
US

IV. Provider business mailing address

10191 GLEN BRAE TRL
SANTEE CA
92071-7214
US

V. Phone/Fax

Practice location:
  • Phone: 858-382-9050
  • Fax:
Mailing address:
  • Phone: 858-382-9050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number87488
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: