Provider Demographics
NPI:1689696585
Name:WORCESTER, HOWARD LESTER (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:LESTER
Last Name:WORCESTER
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 1:2650 ELM AVE
Mailing Address - Street 2:#309
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1651
Mailing Address - Country:US
Mailing Address - Phone:562-595-8549
Mailing Address - Fax:562-427-6271
Practice Address - Street 1:2650 ELM AVE
Practice Address - Street 2:#309
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1651
Practice Address - Country:US
Practice Address - Phone:562-595-8549
Practice Address - Fax:562-427-6271
Is Sole Proprietor?:No
Enumeration Date:2006-07-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23356207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine