| Harbor Comprehensive Health Inc | |
|
803 Figueroa St Wilmington CA 90744-2300 | |
| (310) 830-0863 | |
| (310) 830-0863 |
| Full Name | Harbor Comprehensive Health Inc |
|---|---|
| Speciality | General Practice |
| Location | 803 Figueroa St, Wilmington, California |
| Authorized Official Name and Position | Timothy C Collins (PRESIDENT) |
| Authorized Official Contact | 3108300863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbor Comprehensive Health Inc 803 Figueroa St Wilmington CA 90744-2300 Ph: (310) 830-0863 | Harbor Comprehensive Health Inc 803 Figueroa St Wilmington CA 90744-2300 Ph: (310) 830-0863 |
| NPI Number | 1093000606 |
|---|---|
| Provider Enumeration Date | 06/10/2011 |
| Last Update Date | 03/04/2014 |
| Medicare PECOS PAC ID | 3971775479 |
|---|---|
| Medicare Enrollment ID | O20111005000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093000606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (California) | Primary |
| Provider Name | Timothy C Collins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841334067 PECOS PAC ID: 3375697626 Enrollment ID: I20090820000451 |
| Provider Name | John O Simmonds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801195912 PECOS PAC ID: 1254593130 Enrollment ID: I20120511000418 |
| Provider Name | Kesha Saucier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407254881 PECOS PAC ID: 2769774439 Enrollment ID: I20160718000541 |
| Provider Name | Shylee B Tiamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053779322 PECOS PAC ID: 9133413149 Enrollment ID: I20160812001353 |
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