Provider Demographics
NPI:1679760094
Name:DEDES, HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:DEDES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8285 E SANTA ANA CANYON RD STE 135-222
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2257
Mailing Address - Country:US
Mailing Address - Phone:310-421-8088
Mailing Address - Fax:949-988-4000
Practice Address - Street 1:9940 TALBERT AVE STE 202
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5153
Practice Address - Country:US
Practice Address - Phone:949-877-7246
Practice Address - Fax:949-988-4000
Is Sole Proprietor?:No
Enumeration Date:2007-09-30
Last Update Date:2025-08-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1036652081P2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
634650063Medicare PIN