Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Horan, MEDICALSTUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679013049

Dr. Timothy Horan, MEDICALSTUDENT is an Orthopedic Surgery in LA Jolla, California. Qualified in 2017, 9 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone: (858) 554-7993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 20A19452 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679013049
Entity typeIndividual (Type 1)
GenderMale
Credentials MEDICALSTUDENT
Sole proprietorYes
NPI enumeratedMarch 3, 2017
Last updated in NPPESOctober 27, 2023
Certification dateJune 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in LA Jolla