MEDICARE: DIANNA HOWE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173C00000X	Reflexologist	45304	CA
2	225700000X	Massage Therapist	45304	CA

General Provider Information

NPI Number	:	1255084539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANNA HOWE

Provider Business Mailing Address
First Line	:	832 LAGUNA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-4217
Country	:	US
Telephone Number	:	213-574-5552
Fax Number	:

Provider Business Practice Location Address
First Line	:	832 LAGUNA AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-4217
Country	:	US
Telephone Number	:	213-574-5552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	01/27/2022

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Directions to “ DIANNA HOWE ” Practice Location

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