SOUTH ATLANTIC MEDICAL GROUP, INC
NPI 1710160627
General Practice in Los Angeles, CA

Q: What is South Atlantic Medical Group, Inc's NPI number?

The NPI number for South Atlantic Medical Group, Inc is 1710160627. It was assigned to this organization in the NPPES registry on December 13, 2007.

Q: What is South Atlantic Medical Group, Inc's specialty?

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

Active since December 13, 2007

5504 WHITTIER BLVD, LOS ANGELES, CA 90022(323) 725-0167 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Atlantic Medical Group, Inc NPPES

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

SOUTH ATLANTIC MEDICAL GROUP, INC (NPI 1710160627) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since December 2007. The organization lists Nissan Kahen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710160627

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSOUTH ATLANTIC MEDICAL GROUP, INC

Location Address5504 WHITTIER BLVDLos Angeles, CA 90022-4104

Mailing Address5504 Whittier BlvdLos Angeles, CA 90022-4104 · (323) 725-0167

Phone(323) 725-0167

Organization SubpartNo

Authorized OfficialNissan KahenMedical Director · (323) 725-0167

Enumeration DateDecember 13, 2007

Last NPPES UpdateJuly 28, 2009

✔ NPI 1710160627 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

5504 WHITTIER BLVD, Los Angeles, CA 90022

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Other Identifiers 2

Medicare PINW9296CA

MedicaidGR0020630CA

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 2

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

SOUTH ATLANTIC MEDICAL GROUP IPA

Exclusive Provider Organization

5504 WHITTIER BLVD
LOS ANGELES, CA 90022

Los Angeles County (323) 725-0167

SOUTH ATLANTIC MEDICAL GROUP

Family Medicine

5504 WHITTIER BLVD
LOS ANGELES, CA 90022

Los Angeles County (323) 725-0167

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, Inc's NPI number?

The NPI number for South Atlantic Medical Group, Inc is 1710160627. It was assigned to this organization in the NPPES registry on December 13, 2007.

Where is South Atlantic Medical Group, Inc located?

South Atlantic Medical Group, Inc is located at 5504 Whittier Blvd, Los Angeles, CA 90022. The listed phone number is (323) 725-0167.

What is South Atlantic Medical Group, Inc'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, Inc was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.