1235164914 NPI number — DR. HOWARD FLEISCHER D.C.

Table of content: DR. HOWARD FLEISCHER D.C. (NPI 1235164914)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235164914 NPI number — DR. HOWARD FLEISCHER D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLEISCHER
Provider First Name:
HOWARD
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235164914
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13428 MAXELLA AVE # 160
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARINA DEL REY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90292-5620
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-398-0888
Provider Business Mailing Address Fax Number:
310-313-5872

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13428 MAXELLA AVE # 160
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARINA DEL REY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90292-5620
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-398-0888
Provider Business Practice Location Address Fax Number:
310-313-5872
Provider Enumeration Date:
07/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC24362 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 95-4626140 . This is a "AETNA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "SAG" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "UNITED" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "E.B.A. & M" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "BLUE SHIELD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "MOTION PICTURE HEALTH" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "PACIFIC CARE" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "WRITER'S GUILD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "AARP" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "HEALTH NET" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "A.P.W.U. HEALTH" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "BLUE CROSS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "KAISER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "FIRM SOLUTIONS" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "AVMA GROUP HEALTH" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "DEFINITY HEALTH" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "CNA" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 95-4626140 . This is a "UFCW UNIONS 7 FOOD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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