MEDICARE: TAJ-ZSA MARIE HOWER

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
1	1041C0700X	Clinical Social Worker	LCSW99475	CA

General Provider Information

NPI Number	:	1679949192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAJ-ZSA MARIE HOWER

Provider Business Mailing Address
First Line	:	716 N VENTURA RD # 145
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-4405
Country	:	US
Telephone Number	:	323-389-5354
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 W CHANNEL ISLANDS BLVD STE 304
Second Line	:
City	:	PORT HUENEME
State	:	CA
Zip	:	93041-2128
Country	:	US
Telephone Number	:	323-389-5354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2015
Last Update Date	:	04/18/2026

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