Healthcare Provider Details

I. General information

NPI: 1114927134
Provider Name (Legal Business Name): HOWARD L RICE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2005
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

693 MORSE ST
SAN JOSE CA
95126-2119
US

IV. Provider business mailing address

693 MORSE ST
SAN JOSE CA
95126-2119
US

V. Phone/Fax

Practice location:
  • Phone: 650-210-8000
  • Fax: 650-210-8200
Mailing address:
  • Phone: 650-210-8000
  • Fax: 650-210-8200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberA60488
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA60488
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: