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Organization

SOUTH COAST ALLERGY & ASTHMA MEDICAL CORPORATION.

Active
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Organization

SOUTH COAST ALLERGY & ASTHMA MEDICAL CORPORATION.

Active
Other names
WILLIAM G HARRIS MD
Organization subpart
No

Provider details

NPI number
Authorized official
CARMELLA M AMAR (ADMINISTRATOR)
(760) 245-8645
Entity
Organization

Contact information

Practice address
12370 HESPERIA RD, SUITE 1, VICTORVILLE, CA 92395-7719
(760) 245-8645
(760) 245-6798
Mailing address
12370 HESPERIA RD, SUITE 1, VICTORVILLE, CA 92395-7719
(760) 245-8645
(760) 245-6798

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
NULL
207K00000X
Allergy & Immunology Physician
Primary
—
—

Other

Enumeration date
01/05/2007
Last updated
01/13/2009
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