Healthcare Provider Details

I. General information

NPI: 1740552165
Provider Name (Legal Business Name): HOWARD J. HOOS, MD., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2012
Last Update Date: 01/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 W 7TH ST
OXNARD CA
93030-6756
US

IV. Provider business mailing address

943 W 7TH ST
OXNARD CA
93030-6756
US

V. Phone/Fax

Practice location:
  • Phone: 805-487-0464
  • Fax: 805-487-1934
Mailing address:
  • Phone: 805-487-0464
  • Fax: 805-487-1934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberG33711
License Number StateCA

VIII. Authorized Official

Name: DR. HOWARD JULES HOOS
Title or Position: OWNER
Credential: M.D.
Phone: 805-487-0464