Provider Demographics
NPI:1598403941
Name:HARMS, ILANA (DAIM, LAC)
Entity Type:Individual
Prefix:DR
First Name:ILANA
Middle Name:
Last Name:HARMS
Suffix:
Gender:F
Credentials:DAIM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 TOWNSEND ST UNIT 807
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2189
Mailing Address - Country:US
Mailing Address - Phone:610-425-7032
Mailing Address - Fax:
Practice Address - Street 1:2929 SUMMIT ST STE 208
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3423
Practice Address - Country:US
Practice Address - Phone:415-307-5979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19450171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist