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

South Atlantic Medical Group

Organization Family Medicine Physician · NPI 1790705267

South Atlantic Medical Group is a Family Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

5504 Whittier Blvd
Los Angeles, CA 90022-4104
Phone: (323) 725-0167
Fax: (323) 725-6933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A41061 (CA)

Record details

NPI number1790705267
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nissan Kahen — Medical Director · (323) 725-0167
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 16, 2008
Mailing address5504 Whittier Blvd, Los Angeles, CA 90022-4104

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