Most Relevant Information
Provider Data
| NPI Number: | 1003689761 |
| Provider Name: | KATHRYN ACACIA HARRIS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/03/2023 |
| Last Updated: | 11/03/2023 |
Provider Practice Location
20101 HAMILTON AVE
TORRANCE
CA
905021351
Practice Location Phone/Fax
| Phone: | 2135057027 |
| Fax: |
Provider Mailing Location
8300 S VERMONT AVE
LOS ANGELES
CA
900443493
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |