Individual
DR. HOWARD LEONARD MISHELOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8363 RESEDA BLVD, STE 12, NORTHRIDGE, CA 91324-4697
(818) 349-1015
(818) 349-9078
Mailing address
PO BOX 337, AGOURA HILLS, CA 91376-0337
(818) 349-1015
(818) 349-9078
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5570TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0055700
MEDI CAL
CA
Enumeration date
02/15/2006
Last updated
10/08/2009
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