Healthcare Provider Details

I. General information

NPI: 1487592564
Provider Name (Legal Business Name): DANIA N HARRIS CPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 E MAIN ST STE 108
EL CAJON CA
92021-7211
US

IV. Provider business mailing address

1283 E MAIN ST STE 108
EL CAJON CA
92021-7211
US

V. Phone/Fax

Practice location:
  • Phone: 619-906-6413
  • Fax:
Mailing address:
  • Phone: 619-906-6413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number02351726
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: