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South Atlantic Medical Group
General Practice Physician in El Monte, California
NPI 1801079728

South Atlantic Medical Group is a General Practice Physician based in Los Angeles, CA. South Atlantic Medical Group practices in El Monte, CA. The NPI Number for South Atlantic Medical Group is 1801079728 and holds a License No. A41061 (California).

The current practice location address for South Atlantic Medical Group is 11518 Garvey Ave, El Monte, CA and can be reached out via phone at 626-575-4584.

Location: 11518 Garvey Ave, El Monte, CA, 90022-4104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801079728
Provider Name
South Atlantic Medical Group
Credential
Provider Entity Type
Organization
Address
11518 Garvey Ave, El Monte, CA, 90022-4104
Phone Number
626-575-4584
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
GR0020631 05 CA
institution
Provider Business Practice Location Address Details
Address
11518 Garvey Ave
City
El Monte
State
California
Zip
91732-3306
Phone Number
626-575-4584
Fax Number
person
Provider Business Mailing Address Details
Address
11518 Garvey Ave
City
El Monte
State
California
Zip
91732-3306
Phone Number
626-575-4584
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
A41061 (California)
Definition
Definition to come...
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