institution
South Atlantic Medical Group
General Practice Physician in Gardena, California
NPI 1306029806

South Atlantic Medical Group is a General Practice Physician based in Los Angeles, CA. South Atlantic Medical Group practices in Gardena, CA. The NPI Number for South Atlantic Medical Group is 1306029806 and holds a License No. A41061 (California).

The current practice location address for South Atlantic Medical Group is 1030 W Gardena Blvd, Gardena, CA and can be reached out via phone at 310-323-9999.

Location: 1030 W Gardena Blvd, Gardena, CA, 90022-4104
institution
Provider Profile Details
NPI Number
1306029806
Provider Name
South Atlantic Medical Group
Credential
Provider Entity Type
Organization
Address
1030 W Gardena Blvd, Gardena, CA, 90022-4104
Phone Number
310-323-9999
Fax Number
Provider Enumeration Date
12/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0020634 05 CA
institution
Provider Business Practice Location Address Details
Address
1030 W Gardena Blvd
City
State
Zip
90247-4956
Phone Number
310-323-9999
Fax Number
person
Provider Business Mailing Address Details
Address
1030 W Gardena Blvd
City
State
Zip
90247-4956
Phone Number
310-323-9999
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A41061 (California)
Definition
Definition to come...
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