Provider Demographics
NPI:1164463881
Name:HORTON, KAREN MAI (MD, MSC, FRCSC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:MAI
Last Name:HORTON
Suffix:
Gender:F
Credentials:MD, MSC, FRCSC
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Mailing Address - Street 1:2100 WEBSTER ST STE 506
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2381
Mailing Address - Country:US
Mailing Address - Phone:415-923-3067
Mailing Address - Fax:415-346-5019
Practice Address - Street 1:2100 WEBSTER ST STE 506
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2381
Practice Address - Country:US
Practice Address - Phone:415-923-3067
Practice Address - Fax:415-346-5019
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA87734208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI38693Medicare UPIN