Individual
DR. AVITAL HARARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 310, LOS ANGELES, CA 90024-6999
(310) 267-7838
(310) 267-8632
Mailing address
5767 WEST CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A107125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1071250
—
CA
Enumeration date
09/25/2008
Last updated
12/26/2019
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