Provider Demographics
NPI:1366649089
Name:HARSHBARGER, TODD LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:LEE
Last Name:HARSHBARGER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 18111
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92817-8111
Mailing Address - Country:US
Mailing Address - Phone:213-787-7834
Mailing Address - Fax:213-559-0929
Practice Address - Street 1:191 S BUENA VISTA ST STE 370
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4562
Practice Address - Country:US
Practice Address - Phone:213-787-7834
Practice Address - Fax:213-559-0929
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2020-08-28
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Provider Licenses
StateLicense IDTaxonomies
CAA66076207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVHA6037301Medicare PIN