Healthcare Provider Details

I. General information

NPI: 1215047444
Provider Name (Legal Business Name): HOWARD R. SAWYER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: HOWARD SAWYER M.D.

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 11/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14600 SHERMAN WAY SUITE 300
VAN NUYS CA
91405-2283
US

IV. Provider business mailing address

14600 SHERMAN WAY SUITE 300
VAN NUYS CA
91405-2283
US

V. Phone/Fax

Practice location:
  • Phone: 818-781-7097
  • Fax: 818-782-5126
Mailing address:
  • Phone: 818-781-7097
  • Fax: 818-782-5126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG38515
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: