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Organization
HORACIO F ARIZA MD
Active
Organization
HORACIO F ARIZA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HORACIO F ARIZA MD (MD OWNER)
(323) 562-9770
Entity
Organization
Contact information
Practice address
9808 VENICE BLVD, 710, CULVER CITY, CA 90232-2732
(323) 526-9770
(661) 702-9712
Mailing address
PO BOX 176, MONTEREY PARK, CA 91754-0176
(323) 600-4901
(661) 702-9712
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A20388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093802951
INDIVIDUAL NPI
CA
05
—
A203880
—
CA
Enumeration date
06/08/2007
Last updated
08/22/2020
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