Individual
HOWARD S KAUFMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 PICO ST, PASADENA, CA 91105-3201
(626) 397-5896
(626) 397-5899
Mailing address
PO BOX 50487, PASADENA, CA 91115-0487
(626) 397-5896
(626) 397-5899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C50932
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C509320
BLUE SHIELD PIN
CA
05
—
00C509320
—
CA
01
—
00C509320C29
CAL OPTIMA PIN
CA
01
—
020053154
MEDICARE RAILROAD PIN
CA
Enumeration date
07/06/2006
Last updated
10/01/2012
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