Provider Demographics
NPI:1982837787
Name:DANNIELLE O HARWOOD, MD
Entity Type:Organization
Organization Name:DANNIELLE O HARWOOD, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNIELLE
Authorized Official - Middle Name:OLIVIA
Authorized Official - Last Name:HARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-343-1200
Mailing Address - Street 1:1645 ESPLANADE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3367
Mailing Address - Country:US
Mailing Address - Phone:530-343-1200
Mailing Address - Fax:530-894-3107
Practice Address - Street 1:1645 ESPLANADE
Practice Address - Street 2:SUITE 4
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-3367
Practice Address - Country:US
Practice Address - Phone:530-343-1200
Practice Address - Fax:530-894-3107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98775207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1720293962OtherNPI TYPE I
CA1982837787OtherNPI TYPE 2
CA1982837787OtherNPI TYPE 2