# MATTHEW HARRIS, MD, A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013219203
- **Authorized official:** DR. MATTHEW HARRIS M.D. (CEO)
- **Authorized official phone:** (949) 588-7246

## Contact information

- **Practice address:** 23961 CALLE DE LA MAGDALENA, SUITE 405, LAGUNA HILLS, CA 92653-3616
- **Practice address phone:** (949) 588-7246
- **Mailing address:** 23961 CALLE MAGDALENA, SUITE 405, LAGUNA HILLS, CA 92653

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A99869 | CA | Yes |

## Other

- **Enumeration date:** 11/22/2010
- **Last updated:** 11/22/2010
