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NPI Code Detail

MEDICARE: SIDNEY HARRISON AMFT #160163

MEDICARE: SIDNEY HARRISON AMFT #160163
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
1106H00000XMarriage & Family Therapist160163CA

General Provider Information

NPI Number : 1922953850
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIDNEY HARRISON AMFT #160163
Provider Business Mailing Address
First Line : 2116 ARLINGTON AVE STE 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90018-1300
Country : US
Telephone Number : 323-334-9000
Fax Number : 323-334-4427
Provider Business Practice Location Address
First Line : 1749 14TH ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-4342
Country : US
Telephone Number : 323-334-9000
Fax Number : 323-334-4437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ SIDNEY HARRISON AMFT #160163” Practice Location

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