Organization · Type 2 NPI
South Atlantic Medical Group
General Practice Physician · El Monte, CA
NPI number
1801079728
Active
Practice location
11518 Garvey Ave
El Monte, CA 91732-3306
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.
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- Ardmore Medical GroupGeneral Practice Physician El Monte, CA NPI 1578624672
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About NPI 1801079728
South Atlantic Medical Group's National Provider Identifier is 1801079728, issued on Dec 13, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in El Monte, CA. The record was last updated on Dec 13, 2007.