Healthcare Provider Details

I. General information

NPI: 1811937436
Provider Name (Legal Business Name): DR. HARRY KRAM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2006
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3445 PACIFIC COAST HWY #230
TORRANCE CA
90505-6660
US

IV. Provider business mailing address

PO BOX 1069
TORRANCE CA
90505-0069
US

V. Phone/Fax

Practice location:
  • Phone: 310-326-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberG52608
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: