| Doctor Name: | DR. EBEN HOWARD |
| NPI Number: | 1083026009 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD, FNP-BC PMHNP-BC |
| License Number: | 95001143 |
| Business Practice Address: | 2738 Camino Capistrano Ste 4 San Clemente, CA - 926724854 |
| Business Phone Number: | 7146975211 |
| Business Fax Number: | 8889998503 |
| Mailing Address: | 2738 Camino Capistrano Ste 4, SAN CLEMENTE |
| State: | CA |
| Postal Code: | 926724854 |
| Phone Number: | 9492122699 |
| Fax Number: | 8889998503 |
| NPI Enumeration Date: | 05/26/2014 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 95001143 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |