Provider Demographics
NPI:1972057362
Name:HOWELL, VICTORIA (CGC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:HOWELL
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:
Other - Last Name:BREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CGC
Mailing Address - Street 1:10666 N TORREY PINES RD
Mailing Address - Street 2:BOX 217
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1027
Mailing Address - Country:US
Mailing Address - Phone:858-554-9372
Mailing Address - Fax:858-554-6941
Practice Address - Street 1:10666 N TORREY PINES RD
Practice Address - Street 2:BOX 217
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1027
Practice Address - Country:US
Practice Address - Phone:858-554-9372
Practice Address - Fax:858-554-6941
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000766207SG0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0203XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Molecular Genetics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGC000766OtherCALIFORNIA GENETIC COUNSELOR LICENSE