Provider Demographics
NPI:1033227830
Name:MITCHELL-HARRIS, ARLENE ELIZABETH (NP)
Entity type:Individual
Prefix:MS
First Name:ARLENE
Middle Name:ELIZABETH
Last Name:MITCHELL-HARRIS
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:7037 LA TIJERA BLVD
Mailing Address - Street 2:#A101
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-2179
Mailing Address - Country:US
Mailing Address - Phone:310-338-7288
Mailing Address - Fax:
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:BLDG 500 PM&RS MAIL CODE 117
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-478-3711
Practice Address - Fax:310-268-4935
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA359660363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAVAD000Medicare UPIN