Organization
DEBORAH HORAK CRNA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH A HORAK CRNA (PRESIDENT)
(310) 246-9004
Entity
Organization
Contact information
Practice address
416 N BEDFORD DR, 200, BEVERLY HILLS, CA 90210-4322
(909) 946-5752
(909) 694-2370
Mailing address
PO BOX 1597, BEVERLY HILLS, CA 90213-1597
(909) 946-5752
(909) 694-2370
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA1830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ51315Z
BLUE SHIELD
CA
Enumeration date
04/18/2007
Last updated
02/22/2017
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