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SOUTH ATLANTIC MEDICAL GROUP
NPI 1629251541
General Practice in Huntington Park, CA

Active since December 13, 2007
2616 CLARENDON AVE, HUNTINGTON PARK, CA 90255(323) 589-6633 Get Directions Write a Review

NPPES record last updated: December 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Atlantic Medical Group NPPES

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

SOUTH ATLANTIC MEDICAL GROUP (NPI 1629251541) is a healthcare organization registered as a general practice in Huntington Park, California and active in the NPI registry since December 2007. The organization lists Nissan Kahen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1629251541
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH ATLANTIC MEDICAL GROUP
Location Address2616 CLARENDON AVEHuntington Park, CA 90255-4120
Mailing Address5504 Whittier BlvdLos Angeles, CA 90022-4104 · (323) 725-0167
Phone(323) 589-6633
Organization SubpartNo
Authorized OfficialNissan KahenMedical Director · (323) 725-0167
Enumeration DateDecember 13, 2007
✔ NPI 1629251541 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 · A41061
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
2616 CLARENDON AVE, Huntington Park, CA 90255
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Other Identifiers 1

MedicaidGR0020632CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ABSOLUTE PHYSICAL THERAPY & REHAB CENTER INC.
Physical Therapist
2616 CLARENDON AVE
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 583-2634

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 South Atlantic Medical Group's NPI number?

The NPI number for South Atlantic Medical Group is 1629251541. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is South Atlantic Medical Group located?

South Atlantic Medical Group is located at 2616 Clarendon Ave, Huntington Park, CA 90255. The listed phone number is (323) 589-6633.

What is South Atlantic Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for South Atlantic Medical Group was last updated on December 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.