Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SENIOR SUPPORT MEDICAL GROUP PC
NPI 1831017227
General Practice in El Segundo, CA

Q: What is Senior Support Medical Group PC's NPI number?

The NPI number for Senior Support Medical Group PC is 1831017227. It was assigned to this organization in the NPPES registry on July 6, 2026.

Q: What is Senior Support Medical Group PC's specialty?

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

Active since July 06, 2026

880 APOLLO ST STE 217, EL SEGUNDO, CA 90245(714) 698-4908(714) 698-4908 Get Directions Write a Review

NPPES record added: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Senior Support Medical Group Pc NPPES

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

SENIOR SUPPORT MEDICAL GROUP PC (NPI 1831017227) is a healthcare organization registered as a general practice in El Segundo, California and active in the NPI registry since July 2026. The organization lists Mark Shen, President, as its authorized official.

NPPES Registry Identity

NPI1831017227

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameSENIOR SUPPORT MEDICAL GROUP PC

Location Address880 APOLLO ST STE 217El Segundo, CA 90245-4752

Mailing Address880 Apollo St Ste 217El Segundo, CA 90245-4752 · (714) 698-4908 · Fax (714) 698-4908

Phone(714) 698-4908

Fax(714) 698-4908

Organization SubpartNo

Authorized OfficialMark ShenPresident · (714) 698-4908

Enumeration DateJuly 6, 2026

Last NPPES UpdateJuly 7, 2026

NPPES CertifiedJuly 7, 2026

✔ NPI 1831017227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

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

880 APOLLO ST STE 217, El Segundo, CA 90245

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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.

GERIATRIC SUPPORT MEDICAL GROUP PC

General Practice

880 APOLLO ST STE 217
EL SEGUNDO, CA 90245

Los Angeles County (714) 698-4908

MICHELLE GALET GUTIERREZ NP

Nurse Practitioner (Family)

880 APOLLO ST STE 217
EL SEGUNDO, CA 90245

Los Angeles County (855) 818-2218

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 Senior Support Medical Group PC's NPI number?

The NPI number for Senior Support Medical Group PC is 1831017227. It was assigned to this organization in the NPPES registry on July 6, 2026.

Where is Senior Support Medical Group PC located?

Senior Support Medical Group PC is located at 880 Apollo St Ste 217, El Segundo, CA 90245. The listed phone number is (714) 698-4908.

What is Senior Support Medical Group PC'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 Senior Support Medical Group PC was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.