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General NPI Number Information
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NPI Number | 1902225816
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Entity Type | Individual
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Provider Name | DANIELLE E. HARIK DO
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Gender | Female
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 03/11/2021
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Provider Practice Location Address
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Address Line | 6095 N 1ST ST
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City | FRESNO
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State | CA
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Zip | 93710-5444
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Country | US
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Telephone | 559-446-1515
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Fax | 559-261-1239
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Provider Business Mailing Address
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Address Line | 1230 SHAFFER RD APT 3308
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City | SANTA CRUZ
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State | CA
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Zip | 95060-5783
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Country | US
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Telephone | 269-358-2006
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | PG167648
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO00904
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 18396
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License Number State | CA
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