Harris, Todd S

Harris, Todd S is an individual health care provider with primary practice located at 4501 Birch St , Newport Beach CA 92660. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Harris, Todd S can be contacted via phone (949) 221-0136.

Contact Information

Primary practice address
4501 Birch St Newport Beach CA 92660
Phone: (949) 221-0136
Fax: (949) 387-1136
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A105121 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A105121 California

Profile Details

NPI number 1710980677
LBN Legal business name Harris, Todd S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jun 4th, 2019 - about 6 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 1710980677 NPPES
Michigan MEDICAID 171098067

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