Provider Demographics
NPI:1548486632
Name:HARRIS, STANLEY E (MD)
Entity type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:E
Last Name:HARRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:857 DOWNEY WAY STE 100
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90089-0051
Mailing Address - Country:US
Mailing Address - Phone:213-740-7711
Mailing Address - Fax:213-740-6815
Practice Address - Street 1:857 DOWNEY WAY STE 100
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90089-0051
Practice Address - Country:US
Practice Address - Phone:213-740-7711
Practice Address - Fax:213-740-6815
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG410902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry