Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | G24239 | CA |
NPI | 1659426674 |
---|---|
Provider Name | Dr. John Harsany JR. |
First Address | Hemet, CA 92543-4391 |
Second Address | Hemet, CA 92543-4391 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 11/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A42208 | (02) | CA |