Individual
DR. DARRYL C HARRIS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2126 S LA BREA AVE, SUITE 104, LOS ANGELES, CA 90016-2277
(323) 549-3420
(323) 375-1341
Mailing address
6230 WILSHIRE BLVD, SUITE 1251, LOS ANGELES, CA 90048-5126
(323) 549-3420
(323) 375-1341
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
G88191
CA
208VP0000X
Pain Medicine Physician
Primary
G88191
CA
Other
Enumeration date
06/06/2006
Last updated
12/31/2009
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