Individual
DR. WILLIAM G HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 W LA VETA AVE STE 850, ORANGE, CA 92868-4218
(714) 771-7994
(714) 744-4167
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
G64493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G64493
—
CA
01
—
CB221252
MEDICARE PTAN
CA
Enumeration date
04/27/2006
Last updated
12/14/2023
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