Individual
DR. MATTHEW J HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1072 JOHNSON AVE, SAN DIEGO, CA 92103-2316
(619) 253-5622
Mailing address
1072 JOHNSON AVE, SAN DIEGO, CA 92103-2316
(619) 253-5622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G42320
CA
207RP1001X
Pulmonary Disease Physician
Primary
G42320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G423201
—
CA
Enumeration date
08/25/2006
Last updated
09/24/2012
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