Southbay Advance Medical Group, Inc.

NPI #1457373383 in Gardena, California

Provider Information

NPI Number: 1457373383
Entity Type: Organization
Organization Name: Southbay Advance Medical Group, Inc.
Primary Specialty: General Practice
Enumeration Date: Jul 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 15731 S WESTERN AVE
City: Gardena
State: California
ZIP Code: 90247-6157
Phone: (310) 808-0199

Authorized Official

Name: MORRIS HALFON, MD
Title: DIRECTOR
Phone: (310) 808-0199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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