SOUTH ATLANTIC MEDICAL GROUP INC NPI 1710160627

NPI Information

SOUTH ATLANTIC MEDICAL GROUP, INC is a general practice in Los Angeles, CA. SOUTH ATLANTIC MEDICAL GROUP, INC NPI is 1710160627. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5504 WHITTIER BLVD
LOS ANGELES, CA
ZIP 90022-104
Phone: (323) 725-0167

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 12/13/2007 and was last updated on 7/28/2009.

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:

Other Identifiers

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