Great Harbor Family & Sports Medicine, INC
NPI #1962629162 in San Pedro, California
Provider Information
- NPI Number
- 1962629162
- Entity Type
- Organization
- Organization Name
- Great Harbor Family & Sports Medicine, INC
- Primary Specialty
- General Practice
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1294 W 6TH ST
- Address 2
- SUITE 200
- City
- San Pedro
- State
- California
- ZIP Code
- 90731-2987
- Phone
- (310) 521-1311
Authorized Official
- Name
- ELISSA SCHLICHTER, D.O.
- Title
- MEDICAL DIRECTOR
- Phone
- (310) 521-1311
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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