Organization · Type 2 NPI
Southbay Advance Medical Group, Inc.
General Practice Physician · Gardena, CA
NPI number
1457373383
Active
Practice location
15731 S Western Ave
Gardena, CA 90247-6157
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A27935 (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.
4 other providers at this address
Other general practice physician providers in Gardena
About NPI 1457373383
Southbay Advance Medical Group, Inc.'s National Provider Identifier is 1457373383, issued on Jul 23, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Gardena, CA. The record was last updated on Aug 22, 2020.