HARBOR COMMUNITY CLINIC NPI 1255684924

NPI Information

HARBOR COMMUNITY CLINIC is a non pharmacy dispensing site in San Pedro, CA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) HARBOR COMMUNITY CLINIC NPI is 1255684924. The provider is registered as an organization entity type.

The provider's business location address is:

593 W 6TH ST
SAN PEDRO, CA
ZIP 90731-521
Phone: (310) 241-6180

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Ops and has the following contact phone number (858) 964-1506.

The enumeration date for this NPI number is 10/18/2012 and was last updated on 2/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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