Provider Demographics
NPI:1922091958
Name:MILSTEIN, HOWARD G (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:G
Last Name:MILSTEIN
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 1:7334 GIRARD AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5141
Mailing Address - Country:US
Mailing Address - Phone:858-454-8811
Mailing Address - Fax:858-454-0235
Practice Address - Street 1:7334 GIRARD AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-5141
Practice Address - Country:US
Practice Address - Phone:858-454-8811
Practice Address - Fax:858-454-0235
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC33686174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW14280Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
CAA88990Medicare UPIN