Organization
JAY K HARNESS MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY K. HARNESS M.D. (OWNER)
(714) 744-8601
Entity
Organization
Contact information
Practice address
1000 W LA VETA AVE, ORANGE, CA 92868-4304
(714) 744-8601
(714) 744-8622
Mailing address
PO BOX 5942, ORANGE, CA 92863-5942
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA8610
RAILROAD MEDICARE PIN
CA
Enumeration date
08/10/2005
Last updated
02/19/2009
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