Eugene Harris MD a Professional Corp

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G4367 Issued in CA

Legal business name

EUGENE HARRIS MD A PROFESSIONAL CORP

Practice address

444 So San Vincente Blvd
Suite 603
Los Angeles, CA 90048-4165

Phone

(310) 423-9889

Fax

(310) 423-9891

NPI assigned

Dec 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Myrna Charlin

Title

Administrator

Phone

(310) 423-9825

Specialties & licenses 1

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1124180989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SO SAN VINCENTE BLVD",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-9889",
            "fax_number": "310-423-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SO SAN VINCENTE BLVD",
            "address_2": "SUITE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484165",
            "telephone_number": "310-423-9889",
            "fax_number": "310-423-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE HARRIS MD A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "CHARLIN",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-423-9825"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G4367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000G43670",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2260601",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004123611",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "000G43670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene Marie Eubanks, PT
• Rachael Eubanks, DPT
• Robert Eubanks
• Eugene a Goncharov DDS Inc
• Eugene a. Shales Physical Therapy Inc.
• Eugene Oriola DDS Inc
• Eugene Rapaport MD Inc
• Eugene Song DDS Inc
• Eugenie Hong DO PC
• Jasmine Eugenio, MD

• Orthopaedic Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.