Organization
F L HARCOURT M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK LEE HARCOURT M.D. (PRESIDENT)
(562) 945-2301
Entity
Organization
Contact information
Practice address
7921 PAINTER AVE, 2, WHITTIER, CA 90602-2441
(562) 945-2301
(562) 945-9221
Mailing address
13952 EASTRIDGE DR, WHITTIER, CA 90602-1931
(562) 945-2301
(562) 693-9221
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C14033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C140330
MEDI-CAL
CA
01
—
1548274525
INDIVIDUAL NPI NUMBER
CA
Enumeration date
07/26/2007
Last updated
12/19/2007
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