Individual
PATRICIA F. HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 365, LOS ANGELES, CA 90095-1693
(310) 206-8272
(310) 794-2113
Mailing address
200 UCLA MEDICAL PLZ STE 365, LOS ANGELES, CA 90095-1693
(310) 206-8272
(310) 794-2113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C53546
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
C53546
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD33680
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034201600
—
DC
01
—
1902846306
GROUP NPI
CA
05
—
400033100
—
MD
05
—
7604165
—
VA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
05/25/2006
Last updated
11/18/2015
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