Nathan Horner
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Hollywood, CA
NPI 1104411701 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1104411701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 0002029859-0001-1 (CA)
- Practice address
- 6720 Franklin PL Apt 307
Hollywood, CA 90028-4514 - Phone
- (323) 240-0702
- NPI assigned
- Mar 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0002029859-0001-1 | CA | MD | Durable Medical Equipment & Medical Supplies |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0002029859-0001-1 | CA | Yes |
Addresses
Primary practice location
6720 Franklin PL Apt 307
Hollywood, CA 90028-4514
Mailing address
6720 Franklin PL Apt 307
Hollywood, CA 90028-4514
Phone (323) 240-0702
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All providers in Hollywood, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.