Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Great Harbor Family & Sports Medicine, Inc

Organization General Practice Physician · NPI 1962629162

Great Harbor Family & Sports Medicine, Inc is a General Practice Physician in San Pedro, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1294 W 6th St Ste 200
San Pedro, CA 90731-2987
Phone: (310) 521-1311
Fax: (310) 514-1313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 20A7368 (CA)

Record details

NPI number1962629162
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elissa Schlichter — Medical Director · (310) 521-1311
NPI enumeratedApril 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1294 W 6th St, Suite 200, San Pedro, CA 90731-2987

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