Provider Demographics
NPI:1760777528
Name:HORIKAWA, YOUSUKE TAKASHI (MD,PHD)
Entity Type:Individual
Prefix:
First Name:YOUSUKE
Middle Name:TAKASHI
Last Name:HORIKAWA
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:HOWARD
Other - Middle Name:YOUSUKE
Other - Last Name:HAMAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8701 CUYAMACA ST
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071
Mailing Address - Country:US
Mailing Address - Phone:858-499-2701
Mailing Address - Fax:619-568-8098
Practice Address - Street 1:8701 CUYAMACA ST
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071
Practice Address - Country:US
Practice Address - Phone:858-499-2701
Practice Address - Fax:619-568-8098
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123209208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics