South Atlantic Medical Group in Bell Gardens - General Practice
South Atlantic Medical Group - NPI 1710160635
South Atlantic Medical Group is a General Practice in Bell Gardens, California. South Atlantic Medical Group practices all healthcare services and medical treatments related to General Practice. The NPI Number for South Atlantic Medical Group is 1710160635. The last update date is 2008-06-17.
South Atlantic Medical Group's current location address is 6300 Florence Ave, Bell Gardens, California. You can contact this provider via phone number 5628066667. The mailing address for South Atlantic Medical Group is 6300 Florence Ave, Bell Gardens, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Atlantic Medical Group |
|---|---|
| Address | 6300 Florence Ave, Bell Gardens, California |
| Phone Number | 5628066667 |
| Fax Number | |
| 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 | 1710160635 |
|---|---|
| Provider Enumeration Date | 2007-12-13 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 6300 Florence Ave |
|---|---|
| City | Bell Gardens |
| State | California (CA) |
| Post Code | 902018900 |
| Phone Number | 5628066667 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | A41061 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0020633 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to South Atlantic Medical Group by the Centers for Medicare & Medicaid Services?
The South Atlantic Medical Group has been assigned the NPI (National Provider Identifier) 1710160635 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the South Atlantic Medical Group's physical address?
The South Atlantic Medical Group is physically located at 6300 Florence Ave, in the city of Bell Gardens, CA, with the postal code 902018900.
What is South Atlantic Medical Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The South Atlantic Medical Group's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710160635 to South Atlantic Medical Group?
The Centers for Medicare & Medicaid Services originally issued the 1710160635 to South Atlantic Medical Group on 2007-12-13.
When was the information regarding South Atlantic Medical Group most recently updated?
The details pertaining to the South Atlantic Medical Group, including its address, specialty, and other relevant information, were last refreshed on 2008-06-17.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA