Organization Active NPI

Michael J. Harris, M.D., Inc.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1619166428
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
A87121 Issued in CA
Legal business name
MICHAEL J. HARRIS, M.D., INC.
Practice address
637 Lucas Ave FL 1
Los Angeles, CA 90017-1997
Phone
(213) 977-2280
Fax
(213) 202-7225
NPI assigned
Oct 17, 2007
Last updated
Aug 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Dr. Michael J Harris, M.D.
Title
Owner
Phone
(310) 251-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X A87121 CA Primary

Addresses

Primary practice location

637 Lucas Ave FL 1
Los Angeles, CA 90017-1997

Mailing address

Dept 8507
Los Angeles, CA 90084-8507
Phone (213) 977-2280

National Provider Directory

National Provider Directory

Locations

637 Lucas Ave
Los Angeles, CA 90017
Phone (213) 977-2099

Dept 8507
Los Angeles, CA 90084

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1619166428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 8507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900848507",
            "telephone_number": "213-977-2280",
            "fax_number": "213-202-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 LUCAS AVE FL 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171997",
            "telephone_number": "213-977-2280",
            "fax_number": "213-202-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. HARRIS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-251-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "A87121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.