Provider Demographics
NPI:1316087422
Name:HARASZTI, JOSEPH SANDOR (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SANDOR
Last Name:HARASZTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 E DEL MAR BLVD
Mailing Address - Street 2:SUITE #8
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-4321
Mailing Address - Country:US
Mailing Address - Phone:626-356-0363
Mailing Address - Fax:626-356-0466
Practice Address - Street 1:2810 E DEL MAR BLVD
Practice Address - Street 2:SUITE #8
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-4321
Practice Address - Country:US
Practice Address - Phone:626-356-0363
Practice Address - Fax:626-356-0466
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG378652084F0202X, 2084P0800X, 2084P0802X, 2084A0401X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG37865OtherMEDICAL LICENSE NUMBER
CAG37865OtherMEDICAL LICENSE NUMBER
CAG37865Medicare ID - Type Unspecified