Organization
HARBOR COMMUNITY CLINIC INC.
Active
Organization
HARBOR COMMUNITY CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAHINA CLARIZZA HERNANDEZ (CREDENTIALING & COMPLIANCE ANALYST)
(310) 547-0202
Entity
Organization
Contact information
Practice address
1040 ELM AVE, SUITES 101 AND 105, LONG BEACH, CA 90813-3265
(310) 547-0202
Mailing address
593 W 6TH ST, SAN PEDRO, CA 90731-2521
(310) 547-0202
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/12/2026
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