Provider Demographics
NPI:1962799882
Name:HARRY W OU MD INC
Entity type:Organization
Organization Name:HARRY W OU MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:W
Authorized Official - Last Name:OU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-464-9119
Mailing Address - Street 1:13768 ROSWELL AVE
Mailing Address - Street 2:SUITE 218
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-1407
Mailing Address - Country:US
Mailing Address - Phone:909-464-9119
Mailing Address - Fax:909-464-2201
Practice Address - Street 1:13768 ROSWELL AVE
Practice Address - Street 2:SUITE 218
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-1407
Practice Address - Country:US
Practice Address - Phone:909-464-9119
Practice Address - Fax:909-464-2201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty