SOUTH ATLANTIC MEDICAL GROUP
NPI 1710160635
General Practice in Bell Gardens, CA

Active since December 13, 2007
6300 FLORENCE AVE, BELL GARDENS, CA 90201(562) 806-6667 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: July 26, 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 1710160635) is a healthcare organization registered as a general practice in Bell Gardens, California and active in the NPI registry since December 2007. The organization lists Nissan Kahen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1710160635
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH ATLANTIC MEDICAL GROUP
Location Address6300 FLORENCE AVEBell Gardens, CA 90201-8900
Mailing Address5504 Whittier BlvdLos Angeles, CA 90022-4104 · (323) 725-0167
Organization SubpartNo
Authorized OfficialNissan KahenMedical Director · (323) 725-0167
Enumeration DateDecember 13, 2007
Last NPPES UpdateJune 17, 2008
NPI 1710160635 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

6300 FLORENCE AVE, Bell Gardens, CA 90201

Other Identifiers 1

MedicaidGR0020633CA

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 4

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

Family Medicine
6300 FLORENCE AVE
BELL GARDENS, CA 90201
Physician Assistant
6300 FLORENCE AVE
BELL GARDENS, CA 90201
Clinic/Center (Primary Care)
6300 FLORENCE AVE
BELL GARDENS, CA 90201
Nurse Practitioner (Family)
6300 FLORENCE AVE
BELL GARDENS, CA 90201

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 1710160635. 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 6300 Florence Ave, Bell Gardens, CA 90201. The listed phone number is (562) 806-6667.

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 June 17, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.