Provider Demographics
NPI:1174606834
Name:HOWARD, JULIE ANN (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:ANN
Last Name:HOWARD
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1125 E BROADWAY
Mailing Address - Street 2:BOX 71
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1315
Mailing Address - Country:US
Mailing Address - Phone:818-500-5586
Mailing Address - Fax:818-500-5583
Practice Address - Street 1:801 S CHEVY CHASE DR
Practice Address - Street 2:SUITE 230
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4436
Practice Address - Country:US
Practice Address - Phone:818-500-5586
Practice Address - Fax:818-500-5583
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2013-11-25
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Provider Licenses
StateLicense IDTaxonomies
CAA92287207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A922870Medicaid
CA00A922870Medicaid