Individual
CARRINGTON DAEVON HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2071 COMPTON AVE STE 102, CORONA, CA 92881-7279
(951) 549-0900
(951) 278-2848
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 18753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750416665
—
CA
Enumeration date
02/22/2007
Last updated
04/11/2024
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