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NPI Code Detail

MEDICARE: ALISSA HARRIS

MEDICARE: ALISSA HARRIS
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
1172V00000XCommunity Health Worker
2171M00000XCase Manager/Care Coordinator
3104100000XSocial WorkerCA

General Provider Information

NPI Number : 1255182531
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA HARRIS
Provider Business Mailing Address
First Line : 44 GOUGH ST STE 210
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-5424
Country : US
Telephone Number : 415-463-1429
Fax Number :
Provider Business Practice Location Address
First Line : 390 40TH ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-2633
Country : US
Telephone Number : 510-653-5040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2024
Last Update Date : 06/23/2026

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Directions to “ ALISSA HARRIS ” Practice Location

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