SOUTH ATLANTIC MEDICAL GROUP NPI 1306029806

NPI Information

SOUTH ATLANTIC MEDICAL GROUP is a general practice in Gardena, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SOUTH ATLANTIC MEDICAL GROUP NPI is 1306029806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1030 W GARDENA BLVD
GARDENA, CA
ZIP 90247-956
Phone: (310) 323-9999

The provider's authorized official is Nissan Kahen .
The authorized official title is Medical Director and has the following contact phone number (323) 725-0167.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 12/13/2007.

Taxonomy Codes

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Other Identifiers

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