Organization
KEITH E. HARRIS M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH E HARRIS M.D. (OWNER)
(310) 605-0123
Entity
Organization
Contact information
Practice address
3628 E IMPERIAL HWY, SUITE 402, LYNWOOD, CA 90262-2643
(310) 605-0123
(310) 605-2678
Mailing address
PO BOX 2489, DOWNEY, CA 90242-0489
(310) 605-0123
(310) 605-2678
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G42622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G426220
—
CA
Enumeration date
04/23/2007
Last updated
07/17/2009
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