Organization
GREAT HARBOR FAMILY & SPORTS MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISSA SCHLICHTER D.O. (MEDICAL DIRECTOR)
(310) 521-1311
Entity
Organization
Contact information
Practice address
1294 W 6TH ST, SUITE 200, SAN PEDRO, CA 90731-2987
(310) 521-1311
(310) 514-1313
Mailing address
1294 W 6TH ST, SUITE 200, SAN PEDRO, CA 90731-2987
(310) 521-1311
(310) 514-1313
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A7368
CA
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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