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

South Atlantic Medical Group

Organization General Practice Physician · NPI 1306029806

South Atlantic Medical Group is a General Practice Physician in Gardena, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

1030 W Gardena Blvd
Gardena, CA 90247-4956
Phone: (310) 323-9999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence A41061 (CA)

Record details

NPI number1306029806
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nissan Kahen — Medical Director · (323) 725-0167
NPI enumeratedDecember 7, 2007
Last updated in NPPESDecember 13, 2007
Mailing address5504 Whittier Blvd, Los Angeles, CA 90022-4104

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