Provider Demographics
NPI:1841357183
Name:HOROWITZ, DAPHNE SARAH (MD)
Entity type:Individual
Prefix:DR
First Name:DAPHNE
Middle Name:SARAH
Last Name:HOROWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DAPHNE
Other - Middle Name:SARAH
Other - Last Name:BARAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:27420 TOURNEY RD STE 150
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5632
Mailing Address - Country:US
Mailing Address - Phone:661-259-8999
Mailing Address - Fax:661-705-0110
Practice Address - Street 1:27420 TOURNEY RD STE 150
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355
Practice Address - Country:US
Practice Address - Phone:661-259-8999
Practice Address - Fax:661-705-0110
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2019-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA51632208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR023293OtherOHP NUMBER