Organization
HARBOR COMMUNITY CLINIC INC.
Active
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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