Individual
DR. ANSAR M HAROUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 W BROADWAY, FORENSIC PSYCHIATRY CLINIC # 1003, SAN DIEGO, CA 92101-3886
(619) 531-3065
(619) 531-3668
Mailing address
5475 BRAGG ST, SAN DIEGO, CA 92122-4103
(619) 531-3065
(619) 531-3668
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
A43260
CA
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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