Healthcare Provider Details

I. General information

NPI: 1174606834
Provider Name (Legal Business Name): JULIE ANN HOWARD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 11/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S CHEVY CHASE DR SUITE 230
GLENDALE CA
91205-4436
US

IV. Provider business mailing address

1125 E BROADWAY BOX 71
GLENDALE CA
91205-1315
US

V. Phone/Fax

Practice location:
  • Phone: 818-500-5586
  • Fax: 818-500-5583
Mailing address:
  • Phone: 818-500-5586
  • Fax: 818-500-5583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA92287
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: