Organization
MARK HOROWITZ DO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK HOROWITZ DO (OWNER)
(310) 373-2636
Entity
Organization
Contact information
Practice address
23550 HAWTHORNE BLVD STE 200, TORRANCE, CA 90505-4722
(310) 373-2636
Mailing address
3521 LOMITA BLVD STE 103, TORRANCE, CA 90505-5041
(310) 534-9131
(310) 534-9132
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A7642
CA
207ND0101X
MOHS-Micrographic Surgery Physician
20A7642
CA
207ND0900X
Dermatopathology Physician
20A7642
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
20A7642
CA
207NP0225X
Pediatric Dermatology Physician
20A7642
CA
207NS0135X
Procedural Dermatology Physician
20A7642
CA
Other
Enumeration date
10/04/2006
Last updated
05/23/2011
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