=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972849636
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOWELL HEALTHCARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/27/2012
-----------------------------------------------------
Last Update Date | 12/27/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 18242 BURBANK BLVD UNIT 3
-----------------------------------------------------
City | TARZANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91356-2512
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-515-5268
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18242 BURBANK BLVD UNIT 3
-----------------------------------------------------
City | TARZANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91356-2512
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-515-5268
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MICHAEL A HOWELL
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 818-515-5268
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------