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Southbay Advance Medical Group, Inc.
General Practice Physician in Gardena, California
NPI 1457373383

Southbay Advance Medical Group, Inc. is a General Practice Physician based in Gardena, CA. Southbay Advance Medical Group, Inc. practices in Gardena, CA. The NPI Number for Southbay Advance Medical Group, Inc. is 1457373383 and holds a License No. A27935 (California).

The current practice location address for Southbay Advance Medical Group, Inc. is 15731 S Western Ave, Gardena, CA and can be reached out via phone at 310-808-0199.

Location: 15731 S Western Ave, Gardena, CA, 90247-6157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457373383
Provider Name
Southbay Advance Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
15731 S Western Ave, Gardena, CA, 90247-6157
Phone Number
310-808-0199
Fax Number
Provider Enumeration Date
07/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15731 S Western Ave
City
Gardena
State
California
Zip
90247-6157
Phone Number
310-808-0199
Fax Number
person
Provider Business Mailing Address Details
Address
15731 S Western Ave
City
Gardena
State
California
Zip
90247-6157
Phone Number
310-808-0199
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A27935 (California)
Definition
Definition to come...
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