Provider Demographics
NPI:1891781530
Name:ORIBA, HOWARD A (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:A
Last Name:ORIBA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 584
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93942
Mailing Address - Country:US
Mailing Address - Phone:310-955-6162
Mailing Address - Fax:
Practice Address - Street 1:798 CASS ST STE 204
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2918
Practice Address - Country:US
Practice Address - Phone:831-233-6474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG61505207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G68198Medicare UPIN
FL070014550Medicare PIN
FLE3869YMedicare PIN
FLE3869ZMedicare PIN