Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0200X | Critical Care Medicine | A104937 | CA |
N | 207RP1001X | Pulmonary Disease | A104937 | CA |
NPI | 1073729539 |
---|---|
Provider Name | Dr. Harleen Hayreh |
First Address | Los Angeles, CA 90027-5337 |
Second Address | Los Angeles, CA 90027-5337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 04/11/2021 |