Individual
MS. DEBORAH A HORAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1658 MALCOLM AVE, LOS ANGELES, CA 90024-5708
(909) 946-5752
(909) 694-2370
Mailing address
PO BOX 1597, BEVERLY HILLS, CA 90213-1597
(909) 946-5752
(909) 694-2370
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA1830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ51315Z
BLUE SHIELD
CA
Enumeration date
11/01/2006
Last updated
01/05/2021
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