Healthcare Provider Details
I. General information
NPI: 1073797577
Provider Name (Legal Business Name): DISCOVERY PEDIATRICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/20/2007
Last Update Date: 12/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
27420 TOURNEY ROAD SUITE 150
VALENCIA CA
91355
US
IV. Provider business mailing address
27420 TOURNEY ROAD SUITE 150
VALENCIA CA
91355
US
V. Phone/Fax
- Phone: 661-259-8999
- Fax:
- Phone: 661-259-8999
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PAUL
S.
HOROWITZ
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 661-259-8999