Healthcare Provider Details

I. General information

NPI: 1912116989
Provider Name (Legal Business Name): HOWARD A AUBERT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4646 BROCKTON AVE STE 202
RIVERSIDE CA
92506-0104
US

IV. Provider business mailing address

4646 BROCKTON AVE STE 202
RIVERSIDE CA
92506-0104
US

V. Phone/Fax

Practice location:
  • Phone: 951-585-1800
  • Fax: 951-585-1801
Mailing address:
  • Phone: 951-585-1800
  • Fax: 951-585-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberCA143438
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number143438
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number60284
License Number StateKY
# 4
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number46214
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: