# SAN PEDRO OB-GYN MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336266402
- **Authorized official:** BARRY H TISCHLER MD (PRESIDENT)
- **Authorized official phone:** (310) 831-1266

## Contact information

- **Practice address:** 1300 W 6TH ST, SUITE 1, SAN PEDRO, CA 90732
- **Practice address phone:** (310) 831-1266
- **Practice address fax:** (424) 342-7888
- **Mailing address:** 1300 W 6TH ST STE 1A, SAN PEDRO, CA 90732-3531
- **Mailing address phone:** (310) 831-1266
- **Mailing address fax:** (424) 342-7888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 05/22/2018