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General NPI Number Information
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NPI Number | 1972598472
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Entity Type | Individual
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Provider Name | JAMES B HARRIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 01/27/2016
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Provider Practice Location Address
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Address Line | 1225 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90017-1901
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Country | US
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Telephone | 213-977-2411
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Fax | 310-698-7040
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Provider Business Mailing Address
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Address Line | 2374 E PACIFICA PL
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City | RANCHO DOMINGUEZ
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State | CA
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Zip | 90220-6214
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Country | US
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Telephone | 323-383-5337
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Fax | 310-698-7054
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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 | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | A71798
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD153432
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License Number State | OR
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