Great Harbor Family & Sports Medicine, Inc
Great Harbor Family & Sports Medicine, Inc provides General Practice Physician services in San Pedro, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1294 W 6th St Ste 200San Pedro, CA 90731-2987
Phone: (310) 521-1311
Fax: (310) 514-1313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 20A7368 (CA) |
|---|
Record details
| NPI number | 1962629162 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Elissa Schlichter — Medical Director · (310) 521-1311 |
| NPI enumerated | April 19, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1294 W 6th St, Suite 200, San Pedro, CA 90731-2987 |
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