MEDICARE: ZACHARIAH HARRISON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant
2	363AM0700X	Medical Physician Assistant	PA65082	CA

General Provider Information

NPI Number	:	1538860507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARIAH HARRISON

Provider Business Mailing Address
First Line	:	1601 MONTE VISTA AVE STE 260
Second Line	:
City	:	CLAREMONT
State	:	CA
Zip	:	91711-6604
Country	:	US
Telephone Number	:	909-865-9501
Fax Number	:	909-469-2109

Provider Business Practice Location Address
First Line	:	3110 CHINO AVE STE 150A
Second Line	:
City	:	CHINO HILLS
State	:	CA
Zip	:	91709-1295
Country	:	US
Telephone Number	:	909-630-7940
Fax Number	:	909-469-2108

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2023
Last Update Date	:	02/20/2026

Similar Medicare Providers

1831112820 — SAMAN ABOUDI MD
Practice Location Address:

3110 CHINO AVE STE 150B
CHINO HILLS, CA
91709-1295

Practice Phone: 909-630-7868
Practice Fax: 909-469-2109

1891877395 — RYAN HIDEO AGENA MD
Practice Location Address:

3110 CHINO AVE STE 150A
CHINO HILLS, CA
91709-1295

Practice Phone: 909-630-7490
Practice Fax: 909-469-2107

1639232440 — MARGARET GALILEO P.A.-C
Practice Location Address:

3110 CHINO AVE STE 150A
CHINO HILLS, CA
91709-1295

Practice Phone: 909-630-7490
Practice Fax: 909-469-2108

1225294713 — SULA M SAFAR DO
Practice Location Address:

3110 CHINO AVE STE 150A
CHINO HILLS, CA
91709-1295

Practice Phone: 909-630-7490
Practice Fax: 909-630-7491

1073844650 — EVANGELINE OBRERO PA-C
Practice Location Address:

3110 CHINO AVE STE 150B
CHINO HILLS, CA
91709-1295

Practice Phone: 909-630-7868
Practice Fax: 909-469-2119

1447502661 — DR. HANH HUYNH LARSON D.O
Practice Location Address:

3110 CHINO AVE STE 150A
CHINO HILLS, CA
91709-1295

Practice Phone: 909-630-7940
Practice Fax: 909-469-2108

Directions to “ ZACHARIAH HARRISON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.