Organization · Type 2 NPI

South Atlantic Medical Group

General Practice Physician · Huntington Park, CA

NPI number 1629251541 Active

Practice location

2616 Clarendon Ave
Huntington Park, CA 90255-4120

Call (323) 589-6633 Map

Mailing address

5504 Whittier Blvd
Los Angeles, CA 90022-4104

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XA41061 (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.

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About NPI 1629251541

South Atlantic Medical Group's National Provider Identifier is 1629251541, issued on Dec 13, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Huntington Park, CA. The record was last updated on Dec 13, 2007.