Basic Information
| Provider Information | |||||||||
| NPI: | 1669685673 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HARIRI | ||||||||
| FirstName: | ARVIN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 200 WEST ARBOR DR | ||||||||
| Address2: | MC 8756 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921038756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195433534 | ||||||||
| FaxNumber: | 6195433746 | ||||||||
| Practice Location | |||||||||
| Address1: | 200 WEST ARBOR DR | ||||||||
| Address2: | MC 8756 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921038756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6195433534 | ||||||||
| FaxNumber: | 6195433746 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2007 | ||||||||
| LastUpdateDate: | 05/13/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | A100284 | CA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.