PACIFIC HARBOR MEDICAL GROUPINC NPI 1235232349

NPI Information

PACIFIC HARBOR MEDICAL GROUP,INC is a family medicine in Los Angeles, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PACIFIC HARBOR MEDICAL GROUP,INC NPI is 1235232349. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8610 S SEPULVEDA BLVD
SUITE # 208
LOS ANGELES, CA
ZIP 90045-008
Phone: (310) 642-0100
Fax: (310) 642-0546

The provider's authorized official is Satish Manilal Patel .
The authorized official title is President and has the following contact phone number (310) 642-0100.

The CLIA number assigned to this NPI record is 05D0549258 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 8/22/2020.

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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