Healthcare Provider Details
I. General information
NPI: 1083483523
Provider Name (Legal Business Name): HARMONYCARES COMPLETE HEALTH SERVICES OF CALIFONIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/26/2023
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
811 W 7TH ST STE 1017
LOS ANGELES CA
90017-3408
US
IV. Provider business mailing address
PO BOX 40404
BELFAST ME
04915-1255
US
V. Phone/Fax
- Phone: 248-434-6169
- Fax: 855-618-6655
- Phone: 855-396-9643
- Fax: 855-618-6655
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JEFFREY
STEVENS
Title or Position: OWNER
Credential: DO
Phone: 248-824-6600