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NPI Code Detail

MEDICARE: BRIAN HOWLEY

MEDICARE: BRIAN HOWLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther TechnicianRBT-16-20057CA

General Provider Information

NPI Number : 1215471396
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN HOWLEY
Provider Business Mailing Address
First Line : 36 MONTEREY BLVD STE A
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94131-3235
Country : US
Telephone Number : 877-264-6747
Fax Number : 877-539-7730
Provider Business Practice Location Address
First Line : 6540 LUSK BLVD STE C256
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-5795
Country : US
Telephone Number : 877-264-6747
Fax Number : 877-539-7730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2016
Last Update Date : 12/08/2016

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Directions to “ BRIAN HOWLEY ” Practice Location

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