Provider Demographics
NPI:1235164914
Name:FLEISCHER, HOWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:FLEISCHER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13428 MAXELLA AVE # 160
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-5620
Mailing Address - Country:US
Mailing Address - Phone:310-398-0888
Mailing Address - Fax:310-313-5872
Practice Address - Street 1:13428 MAXELLA AVE # 160
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-5620
Practice Address - Country:US
Practice Address - Phone:310-398-0888
Practice Address - Fax:310-313-5872
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC24362111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA95-4626140OtherAETNA
CA95-4626140OtherSAG
CA95-4626140OtherUNITED
CA95-4626140OtherE.B.A. & M
CA95-4626140OtherBLUE SHIELD
CA95-4626140OtherMOTION PICTURE HEALTH
CA95-4626140OtherPACIFIC CARE
CA95-4626140OtherWRITER'S GUILD
CA95-4626140OtherAARP
CA95-4626140OtherHEALTH NET
CA95-4626140OtherA.P.W.U. HEALTH
CA95-4626140OtherBLUE CROSS
CA95-4626140OtherKAISER
CA95-4626140OtherFIRM SOLUTIONS
CA95-4626140OtherAVMA GROUP HEALTH
CA95-4626140OtherDEFINITY HEALTH
CA95-4626140OtherCNA
CA95-4626140OtherUFCW UNIONS 7 FOOD
CA95-4626140OtherAVMA GROUP HEALTH