MEDICARE: SCOTT R. HARRISON 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	208000000X	Pediatrics Physician	A71664	CA

General Provider Information

NPI Number	:	1063473486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT R. HARRISON M.D.

Provider Business Mailing Address
First Line	:	801 N TUSTIN AVE
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3600
Country	:	US
Telephone Number	:	714-953-9100
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N TUSTIN AVE
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3600
Country	:	US
Telephone Number	:	714-953-9100
Fax Number	:

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	07/08/2007

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Directions to “ SCOTT R. HARRISON M.D.” Practice Location

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