Provider Demographics
NPI:1881677177
Name:HORGAN, EDWIN C (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:C
Last Name:HORGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10535 HOSPITAL WAY
Mailing Address - Street 2:
Mailing Address - City:MATHER
Mailing Address - State:CA
Mailing Address - Zip Code:95655-4200
Mailing Address - Country:US
Mailing Address - Phone:916-843-7248
Mailing Address - Fax:916-843-7386
Practice Address - Street 1:10535 HOSPITAL WAY
Practice Address - Street 2:
Practice Address - City:MATHER
Practice Address - State:CA
Practice Address - Zip Code:95655-4200
Practice Address - Country:US
Practice Address - Phone:916-843-7248
Practice Address - Fax:916-843-7386
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2007-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV3564207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology