Harris, Bernard N.

Harris, Bernard N. is an sole proprietor health care provider with primary practice located at 502 21St St , Santa Monica CA 90402-3034. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Harris, Bernard N. can be contacted via phone (310) 393-7758.

Contact Information

Primary practice address
502 21St St Santa Monica CA 90402-3034
Phone: (310) 393-7758
Fax: (310) 393-7758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X CFE025308 California

Profile Details

NPI number 1194004416
LBN Legal business name Harris, Bernard N.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2011
Last updated Aug 4th, 2011 - about 14 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 1194004416 NPPES
California Other CFE025308 CALIFORNIA BOARD OF MEDICAL EXAMINERS

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