Healthcare Provider Details

I. General information

NPI: 1831493949
Provider Name (Legal Business Name): YASMIN Y HAROON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2011
Last Update Date: 01/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 N. TUSTIN AVE. #124
SANTA ANA CA
92705
US

IV. Provider business mailing address

999 N. TUSTIN AVE. #124
SANTA ANA CA
92705
US

V. Phone/Fax

Practice location:
  • Phone: 714-547-5444
  • Fax: 714-316-1261
Mailing address:
  • Phone: 714-547-5444
  • Fax: 714-316-1261

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA53316
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: