Organization
L A HARBOR HEALTH GROUPINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYSA QUEALY (PRESIDENT)
(310) 831-5700
Entity
Organization
Contact information
Practice address
643 S BUTTE ST, SAN PEDRO, CA 90732-3510
(310) 831-5700
Mailing address
643 S BUTTE ST, SAN PEDRO, CA 90732-3510
(310) 831-5700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
374J00000X
Doula
Primary
6480
CA
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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