MONYETTE KATHLEEN HARRIS NPI 1063698736

NPI Information

NPI: 1063698736
Provider Name: MONYETTE KATHLEEN HARRIS
Classification: Clinic/Center - 261Q00000X
Entity Type: Individual
Address:
6154 MISSION GORGE RD STE 120
SAN DIEGO, CA
ZIP 92120
Phone: (619) 285-1718
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Monyette Kathleen Harris is a clinic center in San Diego, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). Monyette Kathleen Harris NPI is 1063698736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6154 MISSION GORGE RD STE 120
SAN DIEGO, CA
ZIP 92120-435
Phone: (619) 285-1718
Fax: (619) 285-3803

The enumeration date for this NPI number is 1/12/2008 and was last updated on 1/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center		261QR0405X	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	37AL	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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