Most Relevant Information
Provider Data
| NPI Number: | 1003178534 |
| Provider Name: | MEREDITH DERBY HARSH PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA19061 |
Most Important Dates
| Enumeration Date: | 06/11/2012 |
| Last Updated: | 01/21/2014 |
Provider Practice Location
23181 VERDUGO DR
STE 103A
LAGUNA HILLS
CA
926531357
Practice Location Phone/Fax
| Phone: | 9493661053 |
| Fax: | 9499167710 |
Provider Mailing Location
306 13TH ST
SEAL BEACH
CA
907406505
Provider Mailing Phone/Fax
| Phone: | 5629723726 |
| Fax: |