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NPI Code Detail

MEDICARE: HANZELIK AND HORTON, MDS, INC.

MEDICARE: HANZELIK AND HORTON, MDS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1255390183
Entity Type Code : Organization
Provider Name (Legal Business Name) : HANZELIK AND HORTON, MDS, INC.
Provider Business Mailing Address
First Line : 1240 S WESTLAKE BLVD
Second Line : SUITE 231
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-1929
Country : US
Telephone Number : 805-446-4444
Fax Number : 805-497-4650
Provider Business Practice Location Address
First Line : 1240 WESTLAKE BLVD
Second Line : SUITE 231
City : WESTLAKE VILLAGE
State : CA
Zip : 91361-1929
Country : US
Telephone Number : 805-446-4444
Fax Number : 805-497-4650
Authorized Official
Title or Position : OWNER
Name : DR. EDWARD SAM HANZELIK
Credential : M.D.
Telephone Number : 805-446-4444
Provider Enumeration Date : 03/20/2006
Last Update Date : 11/12/2014

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Directions to “HANZELIK AND HORTON, MDS, INC. ” Practice Location

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