Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Geriatric Support Medical Group PC

Organization General Practice Physician · NPI 1548188931

Geriatric Support Medical Group PC is a General Practice Physician in El Segundo, California. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

880 Apollo St Ste 217
El Segundo, CA 90245-4752
Phone: (714) 698-4908
Fax: (714) 698-4908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1548188931
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ravi Patel — President · (714) 698-4908
NPI enumeratedJuly 6, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address880 Apollo St Ste 217, El Segundo, CA 90245-4752

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