Organization Active NPI

Harbor Spine Specialty

  • Specialist
  • San Pedro, CA
National Provider Identifier
1598076200
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A40938 Issued in CA
Legal business name
HARBOR SPINE SPECIALTY
Practice address
1360 W 6TH St
East Building, Unit J
San Pedro, CA 90732-3514
Phone
(310) 385-7766
Fax
(310) 385-9007
NPI assigned
Jun 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Todd Hopkins Lanman, M.D.
Title
Chief Financial Officer
Phone
(310) 385-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A40938 CA Primary

Addresses

Primary practice location

1360 W 6TH St
East Building, Unit J
San Pedro, CA 90732-3514

Mailing address

1360 W 6TH St
East Building, Unit J
San Pedro, CA 90732-3514
Phone (310) 385-7766

National Provider Directory

National Provider Directory

Locations

1360 W 6th St
Ste E
San Pedro, CA 90732
Phone (310) 385-7766

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1598076200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "EAST BUILDING, UNIT J",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-385-7766",
            "fax_number": "310-385-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "EAST BUILDING, UNIT J",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-385-7766",
            "fax_number": "310-385-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR SPINE SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "LANMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "HOPKINS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "310-385-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.