Individual
DR. TIMOTHY HORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL STUDENT
Contact information
Practice address
10710 N TORREY PINES RD, LA JOLLA, CA 92037-1035
(858) 554-7993
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-7993
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
20A19452
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/03/2017
Last updated
10/27/2023
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