Individual
GARY KENTARO HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 S WESTERN AVE, ANAHEIM, CA 92804-1615
(714) 220-4040
Mailing address
501 S WESTERN AVE, ANAHEIM, CA 92804-1615
(714) 220-4040
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/06/2016
Last updated
04/12/2024
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