Organization · Type 2 NPI

Great Harbor Family & Sports Medicine, Inc

General Practice Physician · San Pedro, CA

NPI number 1962629162 Active

Practice location

1294 W 6th St, Suite 200
San Pedro, CA 90731-2987

Call (310) 521-1311 Map

Fax (310) 514-1313

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000X20A7368 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

15 other providers at this address

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About NPI 1962629162

Great Harbor Family & Sports Medicine, Inc's National Provider Identifier is 1962629162, issued on Apr 19, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Pedro, CA. The record was last updated on Aug 22, 2020.