Organization
HARBOR COMMUNITY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMRA KING (CHIEF EXECUTIVE OFFICER)
(310) 547-8241
Entity
Organization
Contact information
Practice address
425 S PACIFIC AVE, SAN PEDRO, CA 90731-2625
(310) 547-0202
(310) 547-0202
Mailing address
593 W 6TH ST, SAN PEDRO, CA 90731-2521
(310) 547-0202
(310) 547-5096
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/09/2020
Last updated
01/09/2020
Update your record
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