Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A72195 | CA |
NPI | 1720298912 |
---|---|
Provider Name | Dr. Steven Jeffrey Harris |
First Address | Foster City, CA 94404-2375 |
Second Address | Foster City, CA 94404-2375 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/10/2021 |