MEDICARE: MAUREEN HORTON M.D.

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
1	207R00000X	Internal Medicine Physician	D47950	MD
2	207RP1001X	Pulmonary Disease Physician	D47950	MD
3	207RP1001X	Pulmonary Disease Physician	C176693	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861446189
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN HORTON M.D.

Provider Business Mailing Address
First Line	:	4016 22ND ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-3135
Country	:	US
Telephone Number	:	443-710-9341
Fax Number	:

Provider Business Practice Location Address
First Line	:	4016 22ND ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94114-3135
Country	:	US
Telephone Number	:	443-710-9341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	10/21/2022

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Directions to “ MAUREEN HORTON M.D.” Practice Location

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