| Great Harbor Family & Sports Medicine, Inc | |
|
1294 W 6th St Suite 200 San Pedro CA 90731-2987 | |
| (310) 521-1311 | |
| (310) 514-1313 |
| Full Name | Great Harbor Family & Sports Medicine, Inc |
|---|---|
| Speciality | General Practice |
| Location | 1294 W 6th St, San Pedro, California |
| Authorized Official Name and Position | Elissa Schlichter (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3105211311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Great Harbor Family & Sports Medicine, Inc 1294 W 6th St Suite 200 San Pedro CA 90731-2987 Ph: (310) 521-1311 | Great Harbor Family & Sports Medicine, Inc 1294 W 6th St Suite 200 San Pedro CA 90731-2987 Ph: (310) 521-1311 |
| NPI Number | 1962629162 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962629162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20A7368 (California) | Primary |
San Miguel Urgent Care San Pedro Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 W 7th St, San Pedro, CA 90731 Phone: 424-264-5630 | |
Mark Perez Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1350 W 6th St, 2nd Floor #7, San Pedro, CA 90732 Phone: 310-832-1126 Fax: 310-831-3000 | |
Jeremy Anuntiyo Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1360 W 6th St Ste 310, San Pedro, CA 90732 Phone: 562-529-7772 Fax: 562-529-5449 | |
Dr Mona Shah Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1600 S Gaffey St, San Pedro, CA 90731 Phone: 310-548-0201 Fax: 310-547-3340 | |
Total Body Advanced Medicine, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 789 W 9th St, San Pedro, CA 90731 Phone: 310-519-1557 Fax: 310-519-0330 |