Great Harbor Family & Sports Medicine, Inc
NPI 1962629162ActiveOrganization· General Practice· San Pedro, CA
General Practice in San Pedro, California, registered in NPPES in April 2007. The authorized official on file is Elissa Schlichter, D.O., Medical Director.
Overview
| NPI | 1962629162 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 19, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 20A7368 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other general practitioners in San Pedro
- 1922041102
- 1063063451
- 1376735340
- 1376744698
- 1558605980
- 1659129906
- 1952620049
- 1932370947