South Atlantic Medical Group in Los Angeles - Family Medicine
South Atlantic Medical Group - NPI 1790705267
South Atlantic Medical Group is a Family Medicine in Los Angeles, California. South Atlantic Medical Group practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for South Atlantic Medical Group is 1790705267. The last update date is 2008-07-16.
South Atlantic Medical Group's current location address is 5504 Whittier Blvd, Los Angeles, California. You can contact this provider via phone number 3237250167 and fax number 3237256933. The mailing address for South Atlantic Medical Group is 5504 Whittier Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Atlantic Medical Group |
|---|---|
| Address | 5504 Whittier Blvd, Los Angeles, California |
| Phone Number | 3237250167 |
| Fax Number | 3237256933 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Kahen Nissan |
| Credentials | M.D., |
| Telephone Number | 3237250167 |
NPI Number Detail
| NPI Number | 1790705267 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 5504 Whittier Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900224104 |
| Phone Number | 3237250167 |
| Fax Number | 3237256933 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A41061 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0020630 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to South Atlantic Medical Group by the Centers for Medicare & Medicaid Services?
The South Atlantic Medical Group has been issued the NPI (National Provider Identifier) 1790705267. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where South Atlantic Medical Group is physically located?
The South Atlantic Medical Group is situated at the following address: 5504 Whittier Blvd, Los Angeles, CA 900224104.
What is South Atlantic Medical Group's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for South Atlantic Medical Group is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the South Atlantic Medical Group receive the assignment of its 1790705267 from the Centers for Medicare & Medicaid Services?
The South Atlantic Medical Group was issued its 1790705267 by the Centers for Medicare & Medicaid Services on 2006-07-20.
As of what date was the information regarding South Atlantic Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to South Atlantic Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-16.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY
NPI Number: 1023011053
Address: 1253 N Vine St, Los Angeles, CA