Individual
JERAD KIGHTLINGER HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6093
(530) 356-6991
Mailing address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6093
(530) 356-6991
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A181813
CA
208800000X
Urology Physician
MD70054903
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/02/2017
Last updated
01/14/2026
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