1881256857 TONY DEMICO HARRIS MBR
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- TONY DEMICO HARRIS MBR
- Enumeration Date
- July 1, 2019
- Last Update
- July 1, 2019
- Authorized Official
- TONY HARRIS
CHIEF EXECTIVE OFFICER
Phone: (909) 756-3583
Practice Location
- Address
- 8052 TUSCANY ST
FONTANA, CA 923363800 - Phone
- (909) 756-3583
Mailing Address
- Address
- 8052 TUSCANY ST
FONTANA, CA 923363800 - Phone
- (909) 756-3583
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Clinical Neuropsychologist | N/A | N/A | No |
| Lodging Provider | 177F00000X | Lodging | N/A | N/A | No |
| Local Education Agency (LEA) | 251300000X | Local Education Agency (LEA) | N/A | N/A | No |
| Case Management Agency | 251B00000X | Case Management | N/A | N/A | No |
| Developmentally Disabled Services Day Training Agency | 251C00000X | Day Training, Developmentally Disabled Services | N/A | N/A | No |
| Home Health Agency | 251E00000X | Home Health | N/A | N/A | No |
| PACE Provider Organization | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | N/A | N/A | No |
| Supports Brokerage Agency | 251X00000X | Supports Brokerage | N/A | N/A | No |
| Corporate Health Clinic/Center Corporate Health | 261QC1800X | Clinic/Center | N/A | N/A | No |
| Methadone Clinic Methadone | 261QM2800X | Clinic/Center | N/A | N/A | No |
| Oral and Maxillofacial Surgery Clinic/Center Oral and Maxillofacial Surgery | 261QS0112X | Clinic/Center | N/A | N/A | No |
| Preferred Provider Organization | 305R00000X | Preferred Provider Organization | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Mail Order Pharmacy Mail Order Pharmacy | 3336M0002X | Pharmacy | N/A | N/A | No |
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005947 | 01 | CA | HEALTHCARE ALLIANCE |
Digital Endpoints
OTHERS Use: DIRECT
AZPRODUCTSANDSERVICES@GMAIL.COM
AZPASHEALTHCAREPROVIDERS ADMINISTRATIVE CONTACT EMAIL
Frequently Asked Questions
What is TONY DEMICO HARRIS MBR's NPI number?
TONY DEMICO HARRIS MBR's NPI number is 1881256857.
Which doctor has NPI number 1881256857?
The doctor with NPI number 1881256857 is TONY DEMICO HARRIS MBR.
What is TONY DEMICO HARRIS MBR's practice address?
TONY DEMICO HARRIS MBR's practice address is 8052 TUSCANY ST, FONTANA, CA, 923363800.
Which doctor practices at 8052 TUSCANY ST, FONTANA, CA, 923363800?
TONY DEMICO HARRIS MBR practices at 8052 TUSCANY ST, FONTANA, CA, 923363800.
What is TONY DEMICO HARRIS MBR's phone number?
TONY DEMICO HARRIS MBR's phone number is (909) 756-3583.
Who is (909) 756-3583?
(909) 756-3583 is the phone number for TONY DEMICO HARRIS MBR.
What is TONY DEMICO HARRIS MBR's specialty?
TONY DEMICO HARRIS MBR's specialty is Exclusive Provider Organization.
What type of doctor is TONY DEMICO HARRIS MBR?
TONY DEMICO HARRIS MBR is a Exclusive Provider Organization.
Is TONY DEMICO HARRIS MBR a Exclusive Provider Organization?
Yes, TONY DEMICO HARRIS MBR is a Exclusive Provider Organization.
Is TONY DEMICO HARRIS MBR still practicing?
Yes, TONY DEMICO HARRIS MBR is currently practicing.
Is TONY DEMICO HARRIS MBR accepting new patients?
TONY DEMICO HARRIS MBR may be accepting new patients. Please call their office at (909) 756-3583 to inquire about availability.
Is NPI 1881256857 still active?
Yes, NPI 1881256857 is currently active.
Where does TONY DEMICO HARRIS MBR practice?
TONY DEMICO HARRIS MBR practices in FONTANA, CA.