Beacon Street Health Center

LBN: Harbor Community Clinic Inc
Beacon Street Health Center is an health care organization with primary practice located at 731 S. Beacon St. , San Pedro CA 90731-2521. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Harbor Community Clinic Inc can be contacted via phone (310) 732-5887, or through King, Tamra P via phone (310) 547-8241.

Contact Information

Primary practice address
731 S. Beacon St. San Pedro CA 90731-2521
Fax: (310) 547-8048
Website:
Authorized official contact:
Name: King, Tamra P

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 550000067 California

Profile Details

NPI number 1467653873
LBN Legal business name Harbor Community Clinic Inc
DBA Doing business as Beacon Street Health Center
Authorized official King, Tamra P
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2007
Last updated Feb 8th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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