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SOUTH MEDICAL GROUP NPI 1427203785


NPI Information

NPI: 1427203785
Provider Name: SOUTH MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2071346

Address:
1530 E SOUTH ST
LONG BEACH, CA
ZIP 90805
Phone: (562) 984-9200
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SOUTH MEDICAL GROUP is a family medicine in Long Beach, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTH MEDICAL GROUP NPI is 1427203785. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1530 E SOUTH ST
LONG BEACH, CA
ZIP 90805-341
Phone: (562) 984-9200

The provider's authorized official is Kwabena Obeng .
The authorized official title is Administrator and has the following contact phone number (310) 800-7963.

The CLIA number assigned to this NPI record is 05D2071346 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2008 and was last updated on 11/28/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207V00000XObstetrics & GynecologyNo
32085N0700XRadiologyNeuroradiologyNo
42085U0001XRadiologyDiagnostic UltrasoundNo
5207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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