Iliana Harrysson, MD | |
750 S Bascom Ave, San Jose, CA 95128-2603 | |
(408) 885-5410 | |
Not Available |
Full Name | Iliana Harrysson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 750 S Bascom Ave, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790128163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A131905 (California) | Primary |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | Lpch Medical Group Div Of Lucile |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
Mailing Address | Practice Location Address |
---|---|
Iliana Harrysson, MD 750 S Bascom Ave, San Jose, CA 95128-2603 Ph: (301) 514-7311 | Iliana Harrysson, MD 750 S Bascom Ave, San Jose, CA 95128-2603 Ph: (408) 885-5410 |
Dr. Thanhmai Duong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Zanker Rd, San Jose, CA 95134 Phone: 408-451-6198 | |
Dr. Rita Roop Thakur, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 636 E Santa Clara St, San Jose, CA 95112 Phone: 408-307-2123 | |
Dr. Louis Edwin Girling Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 720 Empey Way, San Jose, CA 95128 Phone: 408-793-6230 | |
Dr. Jerry Mercado, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2505 Samaritan Drive, Suite 304, San Jose, CA 95124 Phone: 408-377-8100 | |
Dr. Perry F Lim, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1206 N Capitol Ave, Suite 204, San Jose, CA 95132 Phone: 408-929-2276 | |
Mrs. Latha B Vrittamani, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2505 Samaritan Drive, Ste 607, San Jose, CA 95124 Phone: 408-356-9900 Fax: 408-356-9939 | |
Venny V. Lee, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000 |