institution
South Atlantic Medical Group
General Practice Physician in Huntington Park, California
NPI 1629251541

South Atlantic Medical Group is a General Practice Physician based in Los Angeles, CA. South Atlantic Medical Group practices in Huntington Park, CA. The NPI Number for South Atlantic Medical Group is 1629251541 and holds a License No. A41061 (California).

The current practice location address for South Atlantic Medical Group is 2616 Clarendon Ave, Huntington Park, CA and can be reached out via phone at 323-589-6633.

Location: 2616 Clarendon Ave, Huntington Park, CA, 90022-4104
institution
Provider Profile Details
NPI Number
1629251541
Provider Name
South Atlantic Medical Group
Credential
Provider Entity Type
Organization
Address
2616 Clarendon Ave, Huntington Park, CA, 90022-4104
Phone Number
323-589-6633
Fax Number
Provider Enumeration Date
12/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0020632 05 CA
institution
Provider Business Practice Location Address Details
Address
2616 Clarendon Ave
City
State
Zip
90255-4120
Phone Number
323-589-6633
Fax Number
person
Provider Business Mailing Address Details
Address
2616 Clarendon Ave
City
State
Zip
90255-4120
Phone Number
323-589-6633
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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