Individual
HOWARD M. WORTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G47955
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
G47955
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
G47955
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G479550
BLUE SHIELD OF CA
CA
05
—
00G479550
—
CA
Enumeration date
07/06/2006
Last updated
01/23/2008
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