Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | A84759 | CA |
NPI | 1184707838 |
---|---|
Provider Name | Dr. Howard Fein |
First Address | Rolling Hills Estates, CA 90274 |
Second Address | Rolling Hills Estates, CA 90274 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 23/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H59303 | (02) | CA |