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SOUTH ATLANTIC MEDICAL GROUP
NPI 1790705267
Family Medicine in Los Angeles, CA

Active since July 20, 2006
5504 WHITTIER BLVD, LOS ANGELES, CA 90022(323) 725-0167(323) 725-6933 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 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 1790705267) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since July 2006. The organization lists Nissan Kahen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790705267
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH ATLANTIC MEDICAL GROUP
Location Address5504 WHITTIER BLVDLos Angeles, CA 90022-4104
Mailing Address5504 Whittier BlvdLos Angeles, CA 90022-4104 · (323) 725-0167 · Fax (323) 725-6933
Phone(323) 725-0167
Fax(323) 725-6933
Organization SubpartNo
Authorized OfficialNissan KahenMedical Director · (323) 725-0167
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 16, 2008
✔ NPI 1790705267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A41061
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5504 WHITTIER BLVD, Los Angeles, CA 90022
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Other Identifiers 2

MedicaidGR0020630CA
Medicare PINW9296CA

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, INC
General Practice
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's NPI number?

The NPI number for South Atlantic Medical Group is 1790705267. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is South Atlantic Medical Group located?

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

What is South Atlantic Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for South Atlantic Medical Group was last updated on July 16, 2008. 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.