Organization
NORMAN J HARRIS MDA PROF CORP
Active
Other names
Affiliated Ear Nose and Throat
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE L GASKIN (ACCTS MANAGER)
(714) 441-0133
Entity
Organization
Contact information
Practice address
100 E VALENCIA MESA DR, STE 111, FULLERTON, CA 92835
(714) 441-0133
(714) 441-1082
Mailing address
100 E VALENCIA MESA DR, STE 111, FULLERTON, CA 92835
(714) 441-0133
(714) 441-1082
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G42488
CA
Other
Enumeration date
03/22/2006
Last updated
08/22/2020
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