Horton, Carrington Daevon

Horton, Carrington Daevon is an sole proprietor health care provider with primary practice located at 2071 Compton Ave Ste 102 , Corona CA 92881-7279. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Horton, Carrington Daevon can be contacted via phone (951) 549-0900.

Contact Information

Primary practice address
2071 Compton Ave Ste 102 Corona CA 92881-7279
Phone: (951) 549-0900
Fax: (951) 278-2848
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 18753 California

Profile Details

NPI number 1750416665
LBN Legal business name Horton, Carrington Daevon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Apr 11th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1750416665 NPPES
California MEDICAID 1750416665

Popular Providers