SOUTH ATLANTIC MEDICAL GROUP NPI 1801079728

NPI Information

SOUTH ATLANTIC MEDICAL GROUP is a general practice in El Monte, 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 1801079728. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11518 GARVEY AVE
EL MONTE, CA
ZIP 91732-306
Phone: (626) 575-4584

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 12/13/2007.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.