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SOUTH ATLANTIC MEDICAL GROUP
NPI 1801079728
General Practice in El Monte, CA

Active since December 13, 2007
11518 GARVEY AVE, EL MONTE, CA 91732(626) 575-4584 Get Directions Write a Review

NPPES record last updated: December 13, 2007. 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 1801079728) is a healthcare organization registered as a general practice in El Monte, California and active in the NPI registry since December 2007. The organization lists Nissan Kahen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1801079728
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH ATLANTIC MEDICAL GROUP
Location Address11518 GARVEY AVEEl Monte, CA 91732-3306
Mailing Address5504 Whittier BlvdLos Angeles, CA 90022-4104 · (323) 725-0167
Phone(626) 575-4584
Organization SubpartNo
Authorized OfficialNissan KahenMedical Director · (323) 725-0167
Enumeration DateDecember 13, 2007
✔ NPI 1801079728 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
11518 GARVEY AVE, El Monte, CA 91732
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Other Identifiers 1

MedicaidGR0020631CA

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

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 1801079728. 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 11518 Garvey Ave, El Monte, CA 91732. The listed phone number is (626) 575-4584.

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.