Provider Demographics
NPI:1831182591
Name:HOWELL, SCOTT C (DO)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:C
Last Name:HOWELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6255 W SUNSET BLVD FL 21
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7422
Mailing Address - Country:US
Mailing Address - Phone:323-860-5200
Mailing Address - Fax:323-467-7119
Practice Address - Street 1:4905 HOLLYWOOD BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6101
Practice Address - Country:US
Practice Address - Phone:323-662-0492
Practice Address - Fax:323-662-0196
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-29
Last Update Date:2024-05-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL056210207Q00000X
CAA9700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G94981Medicare UPIN