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Individual

DR. JEFFREY LYNN HARRELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2655 1ST ST STE 360, SIMI VALLEY, CA 93065-1581
(805) 583-7640
(805) 583-7641
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8771
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT196099
PA
207RI0011X
Interventional Cardiology Physician
Primary
A144982
CA

Other

Enumeration date
07/22/2010
Last updated
12/15/2020
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