Individual
NOAH HARNACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
3796 MENLO AVE, SAN DIEGO, CA 92105-2826
(636) 232-6162
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102209507
VA
Other
Enumeration date
02/06/2024
Last updated
09/24/2025
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