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PACIFIC ADVANTAGE MEDICAL GROUP, INC
NPI 1124897400
Family Medicine - Geriatric Medicine in Huntington Park, CA

Active since December 27, 2023CLIA 05D2322111 · Waiver
7700 PACIFIC BLVD, HUNTINGTON PARK, CA 90255(323) 588-6101(323) 553-6015 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Advantage Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC ADVANTAGE MEDICAL GROUP, INC (NPI 1124897400) is a healthcare organization registered as a geriatric medicine in Huntington Park, California and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through April 14, 2027 and lists George D Flanigan, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1124897400
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NamePACIFIC ADVANTAGE MEDICAL GROUP, INC
Location Address7700 PACIFIC BLVDHuntington Park, CA 90255-6302
Mailing Address7700 Pacific BlvdHuntington Park, CA 90255-6302 · (323) 588-6101 · Fax (323) 553-6015
Phone(323) 588-6101
Fax(323) 553-6015
Organization SubpartNo
Authorized OfficialGeorge D FlaniganCeo/owner · (323) 553-9999
Enumeration DateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1124897400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
7700 PACIFIC BLVD, Huntington Park, CA 90255
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2322111

Pacific Advantage Medical Group Inc · Huntington Park, CA
Active · expires Apr 14, 2027
CLIA Number05D2322111
Laboratory TypePhysician Office
Certificate Effective DateApril 15, 2025
Certificate Expiration DateApril 14, 2027
Laboratory DirectorGeorge D. Flanigan III
Laboratory Phone(323) 588-6101
Laboratory LocationPacific Advantage Medical Group Inc7700 Pacific Blvd, Huntington Park, CA 90255
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELEANOR V AZURIN MD INC
Family Medicine
7700 PACIFIC BLVD
WALNUT PARK, CA 90255
Los Angeles County (323) 585-7320
HOLY MEDICAL CENTER INC
Family Medicine
7700 PACIFIC BLVD
WALNUT PARK, CA 90255
Los Angeles County (213) 481-9900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Advantage Medical Group, Inc's NPI number?

The NPI number for Pacific Advantage Medical Group, Inc is 1124897400. It was assigned to this organization in the NPPES registry on December 27, 2023.

Where is Pacific Advantage Medical Group, Inc located?

Pacific Advantage Medical Group, Inc is located at 7700 Pacific Blvd, Huntington Park, CA 90255. The listed phone number is (323) 588-6101.

What is Pacific Advantage Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Pacific Advantage Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2322111) is associated with this NPI, valid through April 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pacific Advantage Medical Group, Inc was last updated on December 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.