SOUTHBAY ADVANCE MEDICAL GROUP, INC.
NPI 1457373383
General Practice in Gardena, CA

Active since July 23, 2006
15731 S WESTERN AVE, GARDENA, CA 90247(310) 808-0199 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southbay Advance Medical Group, Inc. NPPES

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

SOUTHBAY ADVANCE MEDICAL GROUP, INC. (NPI 1457373383) is a healthcare organization registered as a general practice in Gardena, California and active in the NPI registry since July 2006. The organization lists Morris Halfon, Director, as its authorized official.

NPPES Registry Identity

NPI1457373383
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTHBAY ADVANCE MEDICAL GROUP, INC.
Location Address15731 S WESTERN AVEGardena, CA 90247-6157
Mailing Address15731 S Western AveGardena, CA 90247-6157 · (310) 808-0199
Organization SubpartNo
Authorized OfficialMorris HalfonDirector · (310) 808-0199
Enumeration DateJuly 23, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1457373383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in CA · A27935
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

15731 S WESTERN AVE, Gardena, CA 90247

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

Other Providers at the Same Location NPPES 4

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

Acupuncturist
15731 S WESTERN AVE
GARDENA, CA 90247
Acupuncturist
15731 S WESTERN AVE
GARDENA, CA 90247
Acupuncturist
15731 S WESTERN AVE
GARDENA, CA 90247
Chiropractor
15731 S WESTERN AVE
GARDENA, CA 90247

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457373383, enumerated as an "organization" on July 23, 2006.

The provider is located at 15731 S WESTERN AVE GARDENA, CA 90247 and the phone number is (310) 808-0199.

General Practice with taxonomy code 208D00000X.