Provider Demographics
NPI:1326529769
Name:HOWARD, HARRISON (PA)
Entity Type:Individual
Prefix:
First Name:HARRISON
Middle Name:
Last Name:HOWARD
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:3880 MURPHY CANYON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4411
Mailing Address - Country:US
Mailing Address - Phone:858-636-4300
Mailing Address - Fax:858-636-4319
Practice Address - Street 1:6699 ALVARADO RD STE 2200
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-5253
Practice Address - Country:US
Practice Address - Phone:619-265-3400
Practice Address - Fax:619-265-3407
Is Sole Proprietor?:No
Enumeration Date:2018-08-23
Last Update Date:2021-10-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA58952363A00000X
TXPA12126363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant