Individual
DR. SANTIAGO HORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 WEST ARBOR DR, MAIL CODE 8201, SAN DIEGO, CA 92103-8220
(619) 543-1899
(619) 543-3183
Mailing address
FILE NO. 57326, LOS ANGELES, CA 90074-7326
(619) 543-3763
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F5355
CA
208600000X
Surgery Physician
SFP11
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11
SFP LICENSE
CA
Enumeration date
10/11/2006
Last updated
08/09/2017
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