Organization Active NPI

Harbor View Medical Group

  • Internal Medicine Physician
  • San Pedro, CA
National Provider Identifier
1801088166
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HARBOR VIEW MEDICAL GROUP
Practice address
732 W 9TH St
Suite 205
San Pedro, CA 90731-3634
Phone
(310) 832-1003
Fax
(310) 832-4551
NPI assigned
Aug 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Dr. Ghassan Khamiseh, M.D., SURGEON
Title
Medical Director
Phone
(310) 832-1003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

732 W 9TH St
Suite 205
San Pedro, CA 90731-3634

Mailing address

732 W 9TH St
Suite 205
San Pedro, CA 90731-3634
Phone (310) 832-1003

National Provider Directory

National Provider Directory

Locations

732 W 9th St
Ste 205
San Pedro, CA 90731
Phone (310) 833-3819

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1801088166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 W 9TH ST",
            "address_2": "SUITE 205",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313634",
            "telephone_number": "310-832-1003",
            "fax_number": "310-832-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 W 9TH ST",
            "address_2": "SUITE 205",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313634",
            "telephone_number": "310-832-1003",
            "fax_number": "310-832-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR VIEW MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "KHAMISEH",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-832-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., SURGEON"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Aug 10, 2007; 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.