Individual
HARRISON NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3848 W CARSON ST STE 110, TORRANCE, CA 90503-6704
(424) 488-3191
Mailing address
3848 W CARSON ST STE 110, TORRANCE, CA 90503-6704
(424) 488-3191
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
300735
CA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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