Organization
HARBOR COMMUNITY CLINIC INC.
Active
Other names
Harbor Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMRA KING (EXECUTIVE DIRECTOR)
(310) 547-8241
Entity
Organization
Contact information
Practice address
593 W 6TH ST, SAN PEDRO, CA 90731-2521
(310) 547-0202
(310) 547-5096
Mailing address
593 W 6TH ST, SAN PEDRO, CA 90731-2521
(310) 547-0202
(310) 547-5096
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
960000085
CA
Other
Enumeration date
06/03/2006
Last updated
02/08/2022
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