Tracie D Harvey Md A Medical Corporation | |
4067 Hardwick St Suite 313 Lakewood CA 90712-2350 | |
(323) 233-0425 | |
(323) 432-5177 |
Full Name | Tracie D Harvey Md A Medical Corporation |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 4067 Hardwick St, Lakewood, California |
Authorized Official Name and Position | Eileen J Vrieze (BILLER) |
Authorized Official Contact | 9099462801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tracie D Harvey Md A Medical Corporation 4067 Hardwick St Suite 313 Lakewood CA 90712-2350 Ph: (323) 233-0425 | Tracie D Harvey Md A Medical Corporation 4067 Hardwick St Suite 313 Lakewood CA 90712-2350 Ph: (323) 233-0425 |
NPI Number | 1194056234 |
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Provider Enumeration Date | 01/28/2010 |
Last Update Date | 01/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194056234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | G83052 (California) | Primary |
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