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

Table of Contents

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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