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South Atlantic Medical Group Ipa
Exclusive Provider Organization in Los Angeles, California
NPI 1114193182

South Atlantic Medical Group Ipa is a Exclusive Provider Organization based in Los Angeles, CA. South Atlantic Medical Group Ipa practices in Los Angeles, CA. The NPI Number for South Atlantic Medical Group Ipa is 1114193182 and holds a License No. A410610 (California).

The current practice location address for South Atlantic Medical Group Ipa is 5504 Whittier Blvd, Los Angeles, CA and can be reached out via phone at 323-725-0167.

Location: 5504 Whittier Blvd, Los Angeles, CA, 90022-4104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114193182
Provider Name
South Atlantic Medical Group Ipa
Credential
Provider Entity Type
Organization
Address
5504 Whittier Blvd, Los Angeles, CA, 90022-4104
Phone Number
323-725-0167
Fax Number
Provider Enumeration Date
04/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A410610 05 CA
institution
Provider Business Practice Location Address Details
Address
5504 Whittier Blvd
City
Los Angeles
State
California
Zip
90022-4104
Phone Number
323-725-0167
Fax Number
person
Provider Business Mailing Address Details
Address
5504 Whittier Blvd
City
Los Angeles
State
California
Zip
90022-4104
Phone Number
323-725-0167
Fax Number
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Exclusive Provider Organization
Speciality
-
Taxonomy
302F00000X
License No.
A410610 (California)
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
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