Basic Information
| Provider Information | |||||||||
| NPI: | 1891737060 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOWARD | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | DAVIS | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | IV | ||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1502 ARROW HWY | ||||||||
| Address2: | |||||||||
| City: | LA VERNE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917505318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9095934333 | ||||||||
| FaxNumber: | 9095935588 | ||||||||
| Practice Location | |||||||||
| Address1: | 1280 CORONA POINTE CT | ||||||||
| Address2: | SUITE 112 | ||||||||
| City: | CORONA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928791770 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9518982828 | ||||||||
| FaxNumber: | 9518982811 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2006 | ||||||||
| LastUpdateDate: | 08/17/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | G81970 | CA | Y | Other Service Providers | Specialist |
No ID Information.