Organization
DAVID HORNER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE A HORNER CPA (TREASURER AND SECRETARY)
(520) 979-0301
Entity
Organization
Contact information
Practice address
41870 GARSTIN DR, BIG BEAR LAKE, CA 92315-2088
(909) 866-6501
Mailing address
PO BOX 133021, BIG BEAR LAKE, CA 92315-8914
(520) 979-0301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407112923
NPI
—
01
—
A141403
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
11/16/2020
Last updated
03/07/2023
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