Eugene Harris MD A Professional Corp
Orthopaedic Surgery in Los Angeles, CA. Organization (NPI-2).
NPI number1124180989
StatusActive
Last updated in NPPESNov 7, 2007
Details
- NPI
- 1124180989
- Entity type
- Organization (NPI-2)
- Legal business name
- Eugene Harris MD A Professional Corp
- Organization subpart
- No
- Enumeration date
- Dec 15, 2006
- Last updated
- Nov 7, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G4367 | CA | Yes |
Practice location
444 So San Vincente BlvdSuite 603
Los Angeles, CA 90048-4165
Phone 310-423-9889 · Fax 310-423-9891
Mailing address
444 So San Vincente BlvdSuite 603
Los Angeles, CA 90048-4165
Phone 310-423-9889 · Fax 310-423-9891
Authorized official
Myrna Charlin
Administrator
3104239825
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