South Atlantic Medical Group

NPI #1710160635 in Bell Gardens, California

Provider Information

NPI Number: 1710160635
Entity Type: Organization
Organization Name: South Atlantic Medical Group
Primary Specialty: General Practice
Enumeration Date: Dec 13, 2007
Last Updated: Jun 17, 2008

Practice Location

Address: 6300 FLORENCE AVE
City: Bell Gardens
State: California
ZIP Code: 90201-8900
Phone: (562) 806-6667

Authorized Official

Name: NISSAN KAHEN, M.D.
Title: MEDICAL DIRECTOR
Phone: (323) 725-0167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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