Individual
DOUGLAS JOHN HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1774 ZONAL AVE BLDG B, LOS ANGELES, CA 90033-1064
(310) 221-6377
Mailing address
1774 ZONAL AVE BLDG B, LOS ANGELES, CA 90033-1064
(310) 221-6377
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42457
CA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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