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Organization
ELISA E HORTA, MD,MPH, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
ELISA E HORTA, MD,MPH, A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISA E HORTA MD, MPH (PRESIDENT)
(530) 400-3533
Entity
Organization
Contact information
Practice address
17 MACE BLVD STE J #285, DAVIS, CA 95618
(530) 400-3533
(530) 758-2589
Mailing address
2050 LYNDELL TER, SUITE 150, DAVIS, CA 95616-6204
(530) 758-1563
(530) 758-2589
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G072518
CA
207Q00000X
Family Medicine Physician
Primary
—
—
207VX0000X
Obstetrics Physician
G072518
CA
Other
Enumeration date
09/01/2005
Last updated
06/08/2023
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