Individual
DR. JEFFREY STEVEN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11560 W PICO BLVD, LOS ANGELES, CA 90064-1520
(310) 477-8285
(310) 477-9642
Mailing address
7486 MCCONNELL AVE, LOS ANGELES, CA 90045-1080
(310) 641-7750
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A30312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A303120
—
CA
Enumeration date
08/13/2006
Last updated
07/08/2007
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