South Atlantic Medical Group

NPI #1801079728 in El Monte, California

Provider Information

NPI Number: 1801079728
Entity Type: Organization
Organization Name: South Atlantic Medical Group
Primary Specialty: General Practice
Enumeration Date: Dec 13, 2007
Last Updated: Dec 13, 2007

Practice Location

Address: 11518 GARVEY AVE
City: El Monte
State: California
ZIP Code: 91732-3306
Phone: (626) 575-4584

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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