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NPI Code Detail

MEDICARE: RONALD ALBERT HARRIS

MEDICARE: RONALD ALBERT 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
1101YA0400XAddiction (Substance Use Disorder) CounselorCA

General Provider Information

NPI Number : 1649078262
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD ALBERT HARRIS
Provider Business Mailing Address
First Line : 4281 KATELLA AVE STE 211
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-6500
Country : US
Telephone Number : 562-596-0050
Fax Number : 562-596-0058
Provider Business Practice Location Address
First Line : 4281 KATELLA AVE STE 211
Second Line :
City : LOS ALAMITOS
State : CA
Zip : 90720-6500
Country : US
Telephone Number : 562-596-0050
Fax Number : 562-596-0058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2025
Last Update Date : 03/07/2025

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Directions to “ RONALD ALBERT HARRIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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