MEDICARE: ARTHUR P. KOWELL M.D.

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	174400000X	Specialist	G029779	CA
2	2084N0400X	Neurology Physician	G29779	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700884905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR P. KOWELL M.D.

Provider Business Mailing Address
First Line	:	16311 VENTURA BLVD
Second Line	:	SUITE 680
City	:	ENCINO
State	:	CA
Zip	:	91436-2124
Country	:	US
Telephone Number	:	818-990-8561
Fax Number	:	818-990-4432

Provider Business Practice Location Address
First Line	:	16311 VENTURA BLVD
Second Line	:	SUITE 680
City	:	ENCINO
State	:	CA
Zip	:	91436-2124
Country	:	US
Telephone Number	:	818-990-8561
Fax Number	:	818-990-4432

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

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	05/24/2012

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