Organization · Type 2 NPI
South Atlantic Medical Group
General Practice Physician · Gardena, CA
NPI number
1306029806
Active
Practice location
1030 W Gardena Blvd
Gardena, CA 90247-4956
Mailing address
5504 Whittier Blvd
Los Angeles, CA 90022-4104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A41061 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
Other general practice physician providers in Gardena
About NPI 1306029806
South Atlantic Medical Group's National Provider Identifier is 1306029806, issued on Dec 7, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gardena, CA. The record was last updated on Dec 13, 2007.