Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 20A17487 | CA |
Y | 111NI0900X | Internist | 20A17487 | CA |
NPI | 1003337122 |
---|---|
Provider Name | Abraham Harn |
First Address | Anaheim, CA 92803-5090 |
Second Address | Anaheim, CA 92801-2806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2017 |
Last Update Date | 02/07/2020 |