Tony Demico Harris Mbr

LBN: Tony Demico Harris Mbr
Tony Demico Harris Mbr is an health care organization with primary practice located at 8052 Tuscany St , Fontana CA 92336-3800. The organization recently has 15 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Other Service Providers / Lodging, Agencies / Local Education Agency (LEA), Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Agencies / Supports Brokerage, Ambulatory Health Care Facilities / Corporate Health, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Preferred Provider Organization, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Suppliers / Mail Order Pharmacy. Managed Care Organizations / Exclusive Provider Organization is the primary health care specialty. Tony Demico Harris Mbr can be contacted via phone (909) 756-3583, or through Harris, Tony via phone (909) 756-3583.

Contact Information

Primary practice address
8052 Tuscany St Fontana CA 92336-3800
Phone: (909) 756-3583
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harris, Tony
Phone: (909) 756-3583

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Other Service Providers / Lodging 177F00000X
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X
Agencies / Supports Brokerage 251X00000X
Ambulatory Health Care Facilities / Corporate Health 261QC1800X
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X
Managed Care Organizations / Exclusive Provider Organization 302F00000X
Managed Care Organizations / Preferred Provider Organization 305R00000X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1881256857
LBN Legal business name Tony Demico Harris Mbr
DBA Doing business as
Authorized official Harris, Tony
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2019
Last updated Jul 1st, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881256857 NPPES
California Other 005947 HEALTHCARE ALLIANCE

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