Provider Demographics
NPI:1073898458
Name:GREILS, HOWARD M (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:M
Last Name:GREILS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 OCEAN AVE
Mailing Address - Street 2:C-300
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90402-1405
Mailing Address - Country:US
Mailing Address - Phone:323-462-7225
Mailing Address - Fax:
Practice Address - Street 1:714 W OLYMPIC BLVD
Practice Address - Street 2:#925
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-1425
Practice Address - Country:US
Practice Address - Phone:323-462-7225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG337202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry