Harris, Monyette Kathleen
Harris, Monyette Kathleen is an sole proprietor health care provider with primary practice located at 6154 Mission Gorge Rd Ste 120 , San Diego CA 92120-3435. She recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as her primary health care specialty. Harris, Monyette Kathleen can be contacted via phone (619) 285-1718.Contact Information
Primary practice address
6154 Mission Gorge Rd Ste 120
San Diego CA 92120-3435
Phone: (619) 285-1718
Fax: (619) 285-3803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 261QR0405X | California |
Profile Details
| NPI number | 1063698736 |
|---|---|
| LBN Legal business name | Harris, Monyette Kathleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2008 |
| Last updated | Jan 12th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063698736 | NPPES |
| California | MEDICAID | 37AL |
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