Provider Demographics
NPI:1467541284
Name:PRESSER, HARVEY MARLE (MD)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:MARLE
Last Name:PRESSER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6708 FOOTHILL BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2743
Mailing Address - Country:US
Mailing Address - Phone:818-352-1464
Mailing Address - Fax:818-993-0203
Practice Address - Street 1:17339 BALLINGER ST
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-2004
Practice Address - Country:US
Practice Address - Phone:818-993-9949
Practice Address - Fax:818-993-0293
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA287162084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A287160Medicaid
CAA28716Medicare ID - Type Unspecified
CAA83843Medicare UPIN