Provider Demographics
NPI:1114939287
Name:HOOS, HOWARD JULES (MD)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:JULES
Last Name:HOOS
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 1:943 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030
Mailing Address - Country:US
Mailing Address - Phone:805-487-0464
Mailing Address - Fax:805-487-1934
Practice Address - Street 1:943 W 7TH ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030
Practice Address - Country:US
Practice Address - Phone:805-487-0464
Practice Address - Fax:805-487-1934
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2012-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG33711207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G337110Medicaid
CA00G337110Medicaid
A45651Medicare UPIN