Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | G33711 | CA |
NPI | 1114939287 |
---|---|
Provider Name | Mr. Howard Jules Hoos |
First Address | Oxnard, CA 93030 |
Second Address | Oxnard, CA 93030 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 11/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G337110 | (05) | CA |
A45651 | (02) |