Provider Demographics
NPI:1336517739
Name:HARVARDMD CONSULTING, LLC
Entity Type:Organization
Organization Name:HARVARDMD CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:YUNG-KANG
Authorized Official - Last Name:CHOW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-935-8588
Mailing Address - Street 1:19492 SIERRA RATON RD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-3825
Mailing Address - Country:US
Mailing Address - Phone:818-935-8588
Mailing Address - Fax:626-226-5988
Practice Address - Street 1:19492 SIERRA RATON RD
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92603-3825
Practice Address - Country:US
Practice Address - Phone:818-935-8588
Practice Address - Fax:626-226-5988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-02
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Single Specialty