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1306029806
SOUTH ATLANTIC MEDICAL GROUP
GARDENA, CA
NPI
1306029806
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Entity Type
Organization
Authorized Contact
NISSAN KAHEN
Medical Director
323-725-0167
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CA A41061)
Enumeration Date
2007-12-07
Last Update Date
2007-12-13
Business Address
SOUTH ATLANTIC MEDICAL GROUP
1030 W GARDENA BLVD
GARDENA, CA 90247-4956
Phone number: 310-323-9999
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Mailing Address
SOUTH ATLANTIC MEDICAL GROUP
5504 WHITTIER BLVD
LOS ANGELES, CA 90022-4104
Phone number: 323-725-0167
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