Provider Demographics
NPI:1508200320
Name:HARMONIUM, INC.
Entity Type:Organization
Organization Name:HARMONIUM, INC.
Other - Org Name:PARENT TO PARENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSA ANA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZADA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:858-684-3080
Mailing Address - Street 1:9245 ACTIVITY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-2383
Mailing Address - Country:US
Mailing Address - Phone:858-684-3080
Mailing Address - Fax:
Practice Address - Street 1:5275 MARKET ST
Practice Address - Street 2:SUITE E
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92114-2212
Practice Address - Country:US
Practice Address - Phone:619-857-6799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-23
Last Update Date:2013-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS12382251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health