Dr. Jeffrey Steven Harris
Family Doctor - Adult Medicine
11560 W Pico Blvd
Los Angeles
, California 90064-1520
Dr. Jeffrey Steven Harris
Family Doctor - Adult Medicine
11560 W Pico Blvd
Los Angeles
, California 90064-1520
(310) 641-7750
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Steven Harris
- 7486 Mcconnell Ave
- Los Angeles, CA
- Zip : 90045-1080
- Phone : (310) 641-7750
Second Address
- Dr. Jeffrey Steven Harris
- 11560 W Pico Blvd
- Los Angeles, CA
- Zip : 90064-1520
- Fax : (310) 477-9642
- Phone : (310) 477-8285
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | A30312 | CA |
National Provider Identifier
| NPI | 1083626543 |
|---|---|
| Provider Name | Dr. Jeffrey Steven Harris |
| First Address | Los Angeles, CA 90045-1080 |
| Second Address | Los Angeles, CA 90064-1520 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A303120 | (05) | CA |
| A26049 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.