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NPI Code Detail

MEDICARE: MICHAEL ANTHONY JAMES HOWARD

MEDICARE:   MICHAEL ANTHONY JAMES HOWARD
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
1363AM0700XMedical Physician Assistant59482CA
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1790304665
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ANTHONY JAMES HOWARD
Provider Business Mailing Address
First Line : 11633 SAN VICENTE BLVD STE 214
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-6513
Country : US
Telephone Number : 310-979-8378
Fax Number :
Provider Business Practice Location Address
First Line : 11633 SAN VICENTE BLVD STE 214
Second Line :
City : LOS ANGELES
State : CA
Zip : 90049-6513
Country : US
Telephone Number : 310-979-8378
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2020
Last Update Date : 10/25/2024

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Directions to “ MICHAEL ANTHONY JAMES HOWARD ” Practice Location

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