Provider Demographics
NPI:1417248006
Name:RANA, HARSHA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:HARSHA
Middle Name:
Last Name:RANA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7781 GARDEN PARK ST
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91708-7604
Mailing Address - Country:US
Mailing Address - Phone:310-770-7598
Mailing Address - Fax:909-597-7527
Practice Address - Street 1:15338 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-7658
Practice Address - Country:US
Practice Address - Phone:888-298-0347
Practice Address - Fax:909-597-7527
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT6818174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist