Healthcare Provider Details

I. General information

NPI: 1164365144
Provider Name (Legal Business Name): BEN HARRIS BUSINESS FUND
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2075 NAVARRO AVE
PASADENA CA
91103-1555
US

IV. Provider business mailing address

2075 NAVARRO AVE
PASADENA CA
91103-1555
US

V. Phone/Fax

Practice location:
  • Phone: 626-319-9324
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: PHOTON A MUUR
Title or Position: CASE MANAGER
Credential:
Phone: 626-319-9324