Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | G33569 | CA |
NPI | 1407153000 |
---|---|
Provider Name | Dr. Howard Eric Strom |
First Address | Los Angeles, CA 90068-1509 |
Second Address | Los Angeles, CA 90068-1509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2011 |
Last Update Date | 16/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A91524 | (02) | CA |