DR. JEFFREY STEVEN HARRIS (NPI# 1083626543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083626543 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY STEVEN HARRIS |
| Credential | M.D. |
| Practice Address |
11560 W Pico Blvd Los Angeles CA 90064-1520 |
| Mailing Address |
7486 Mcconnell Ave Los Angeles CA 90045-1080 |
| Practice Telephone | 3104778285 |
| Practice Fax Number | 3104779642 |
| Mailing Telephone | 3106417750 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
A30312 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A303120 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726094 | Jeffrey Harris | Counselor | 2568 Woodgate Blvd Apt 203, Orlando, FL 32822-5881 | 2020-10-05 |
| 1437511060 | Jeffrey Harris | Community Health Worker | 1204 Silver Maple Dr, Belton, MO 64012-7812 | 2016-03-23 |
| 1548693450 | Jeffrey Harris | Behavioral Analyst | 307 Silverado Pines Ave, Las Vegas, NV 89123-4404 | 2013-08-14 |
| 1194031484 | Jeffrey Lionel Harris | Optometrist | 3033 W Jefferson St Ste 101, Joliet, IL 60435-5249 | 2010-08-24 |
| 1932336799 | Jeffrey Justin Harris | Dentist | 1630 Market Center Dr, Suite 100, O Fallon, MO 63368-8407 | 2009-06-18 |
| 1679696991 | Jeffrey S. Harris | Dentist | 300 Old Forge Lane, Suite 301, Kennett Square, PA 19348 | 2007-04-10 |
| 1215058961 | Jeffrey Alan Harris | Technician/Technologist | 220 N Basil St, Baltimore, OH 43105-1004 | 2007-04-02 |
| 1114010485 | Jeffrey D'neil Harris | Psychologist | 2450 Vinson Highway, Milledgeville, GA 31062-1622 | 2006-10-01 |
| 1275625105 | Jeffrey A Harris | Optometrist | 6508 Wollochet Dr Nw, Suite 101, Gig Harbor, WA 98335-8319 | 2006-09-28 |
| 1679678627 | Jeffrey Harris | Internal Medicine | 19333 Bear Valley Road, Suite # 101 and 102, Apple Valley, CA 92308 | 2006-09-14 |
| Street Address |
11560 W PICO BLVD |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90064-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639664824 | Jeffrey Marvin Jue | Physical Therapist | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 | 2018-06-29 |
| 1982121307 | West Los Angeles Urgent Care | Clinic/Center | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 | 2017-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727597 | Barbara K. Polland | Marriage & Family Therapist | 10533 Rountree Rd., Los Angeles, CA 90064 | 2020-10-16 |
| 1912542994 | Reproductive Medicine Associates of Socal Ambulatory Surgery Center | Clinic/Center | 11500 W Olympic Blvd, Ste# 150, Los Angeles, CA 90064 | 2019-11-13 |
| 1376022012 | Payersdirect, Inc. | Radiology | 11845 W Olympic Blvd Ste 1100w, Los Angeles, CA 90064 | 2018-08-13 |
| 1013404136 | Jeannie Wakamatsu | Dietitian, Registered | 10312 Almayo Ave., Suite 6, Los Angeles, CA 90064 | 2018-04-13 |
| 1487153474 | Victor Louie | Behavior Technician | 11835 W Olympic Blvd Suite 140e, Los Angeles, CA 90064 | 2018-02-06 |
| 1538683842 | Ana Grinfeld | Behavioral Analyst | 11835 W Olympic Blvd Ste 140e, Los Angeles, CA 90064 | 2017-07-28 |
| 1407386089 | Ovsanna Stepanyan | Rehabilitation Practitioner | 11080 W Olimpic Blvd, La, CA 90064 | 2017-06-15 |
| 1952768012 | Grace Gayles | Behavioral Analyst | 11835 W. Olympic Blvd., Suite 140e, Los Angeles, CA 90064 | 2016-01-20 |
| 1669841003 | Jessica Hildebrandt | Occupational Therapy Assistant | 2446 S Westgate Ave, Los Angeles, CA 90064 | 2015-09-16 |
| 1033592571 | Joshua Busse | Family Medicine | 11845 Olympic Boulevard, Los Angeles, CA 90064 | 2015-07-01 |
| Find all providers in zip 90064 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
| 1952660599 | Lacy Little Knowles | Family Medicine | 6801 Park Ter Ste 130, Los Angeles, CA 90045 | 2012-05-15 |
| 1316219058 | Robert A Tracy | Family Medicine | 3056 Fletcher Dr, Los Angeles, CA 90065-2207 | 2012-01-26 |
| 1245525690 | Mahendra G Sanathra | Family Medicine | 2015 E. Florence Ave., Los Angeles, CA 90001-2754 | 2011-06-14 |
| 1811056500 | Mcgarrity D O Medical Corporation | Family Medicine | 3750 Santa Rosalia Dr, Suite 101, Los Angeles, CA 90008-3627 | 2006-12-08 |
| 1952336752 | Lydia Marie Green | Family Medicine | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2006-07-11 |
| 1245273820 | Edwin H Choi | Family Medicine | 3663 W 6th St Ste 103, Los Angeles, CA 90020 | 2006-06-13 |
| 1346712866 | Simona Davoudpour Do A Professional Medical Corporation | Family Medicine | 5757 Wilshire Blvd., Promenade 2, Los Angeles, CA 90036 | 2018-12-21 |
| 1831671411 | Suh Hee Kim | Family Medicine | 3663 W 6th St Ste 103, Los Angeles, CA 90020-3047 | 2018-08-30 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90064 |
Please comment or provide details below to improve the information on DR. JEFFREY STEVEN HARRIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.