Individual
DR. MARK KEVIN HOROWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
23550 HAWTHORNE BLVD STE 200, TORRANCE, CA 90505-4722
(310) 373-2636
Mailing address
23550 HAWTHORNE BLVD., #200, TORRANCE, CA 90505-4722
(310) 534-9131
(310) 534-9132
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A7642
CA
207ND0101X
MOHS-Micrographic Surgery Physician
20A7642
CA
207ND0900X
Dermatopathology Physician
20A7642
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
20A7642
CA
207NP0225X
Pediatric Dermatology Physician
20A7642
CA
207NS0135X
Procedural Dermatology Physician
20A7642
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A7642
OSTEOPATHIC MEDICAL BOARD
CA
Enumeration date
06/09/2006
Last updated
01/17/2014
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