Provider Demographics
NPI:1477934909
Name:QUE, HOWIE
Entity Type:Individual
Prefix:
First Name:HOWIE
Middle Name:
Last Name:QUE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 4TH AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-4430
Mailing Address - Country:US
Mailing Address - Phone:619-425-5500
Mailing Address - Fax:619-425-5589
Practice Address - Street 1:310 SANTA FE DR STE 112
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5123
Practice Address - Country:US
Practice Address - Phone:760-642-7009
Practice Address - Fax:760-230-1453
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2020-10-14
Deactivation Date:2016-06-02
Deactivation Code:
Reactivation Date:2020-06-12
Provider Licenses
StateLicense IDTaxonomies
CAE5617213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery