Harness, Jay K.

Harness, Jay K. is an sole proprietor health care provider with primary practice located at 1000 W La Veta Ave , Orange CA 92868-4304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Harness, Jay K. can be contacted via phone (714) 744-8601.

Contact Information

Primary practice address
1000 W La Veta Ave Orange CA 92868-4304
Phone: (714) 744-8601
Fax: (714) 744-8622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G70155 California

Profile Details

NPI number 1477549426
LBN Legal business name Harness, Jay K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated Dec 1st, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477549426 NPPES
Other 00G701550 BLUE SHIELD OF CA
MEDICAID 00G701550 BLUE SHIELD OF CA
Other 00G701550 BLUE SHIELD OF CA
Other P00075153 BLUE SHIELD OF CA

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