Provider Demographics
NPI:1023597101
Name:HARBOR HEALTH INC
Entity type:Organization
Organization Name:HARBOR HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:310-519-9690
Mailing Address - Street 1:29050 S WESTERN AVE STE 102A
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-0887
Mailing Address - Country:US
Mailing Address - Phone:310-519-9690
Mailing Address - Fax:310-519-9696
Practice Address - Street 1:29050 S WESTERN AVE STE 102A
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-0887
Practice Address - Country:US
Practice Address - Phone:310-519-9690
Practice Address - Fax:310-519-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty