Healthcare Provider Details
I. General information
NPI: 1528096294
Provider Name (Legal Business Name): LESLIE ANN HORTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/29/2006
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 HILLMONT AVE
VENTURA CA
93003-1647
US
IV. Provider business mailing address
30810 PARIS CT
WESTLAKE VILLAGE CA
91362-7188
US
V. Phone/Fax
- Phone: 805-652-6729
- Fax: 805-652-5730
- Phone: 213-219-1102
- Fax: 818-879-1882
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | G70296 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: