MEDICARE: DR. BRIAN RAY HARROW M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	313898	NY
2	207W00000X	Ophthalmology Physician	A181119	CA

General Provider Information

NPI Number	:	1023404118
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN RAY HARROW M.D.

Provider Business Mailing Address
First Line	:	17833 COLIMA ROAD
Second Line	:
City	:	ROWLAND HEIGHTS
State	:	CA
Zip	:	91748-1729
Country	:	US
Telephone Number	:	800-898-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	17833 COLIMA RD
Second Line	:
City	:	CITY OF INDUSTRY
State	:	CA
Zip	:	91748-1729
Country	:	US
Telephone Number	:	800-898-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	08/11/2022

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