Healthcare Provider Details

I. General information

NPI: 1912012923
Provider Name (Legal Business Name): HOWARD I KRAUSZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 05/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 E OHIO AVE
ESCONDIDO CA
92025
US

IV. Provider business mailing address

1955 CITRACADO PKWY STE 301
ESCONDIDO CA
92029-4113
US

V. Phone/Fax

Practice location:
  • Phone: 760-746-3937
  • Fax: 760-746-3991
Mailing address:
  • Phone: 760-746-3937
  • Fax: 760-746-3991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG47728
License Number StateCA

VIII. Authorized Official

Name: HOWARD I KRAUSZ
Title or Position: OWNER OF PRACTICE
Credential: M.D.
Phone: 760-746-3937