Individual
DR. BRIAN W. HARRIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 WILSHIRE BOULEVARD, LOS ANGELES, CA 90017-2395
(213) 977-2423
(213) 202-7028
Mailing address
2550 NORTH HOLLYWOOD WAY, SUITE 209, BURBANK, CA 91505-5019
(818) 557-0135
(818) 557-1394
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G70720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G707200
CALOPTIMA
CA
05
—
00G707200
—
CA
01
—
050471CE98412
GOOD SAM TRAILBLAZER
CA
01
—
050618CE98412
BEAR VALLEY TRAILBLAZER
CA
01
—
G70720
BLUE CROSS
CA
Enumeration date
05/18/2006
Last updated
07/09/2007
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