Organization
HORUS MULTISPECIALITY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LUTJE (OFFICE ADMINISTRATOR)
(562) 210-5141
Entity
Organization
Contact information
Practice address
5220 CLARK AVE STE 200, LAKEWOOD, CA 90712-2641
(562) 210-5141
(562) 210-5127
Mailing address
5220 CLARK AVE STE 200, LAKEWOOD, CA 90712-2641
(562) 210-5141
(562) 210-5127
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
01/22/2025
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