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

Southbay Advance Medical Group, Inc

Organization General Practice Physician · NPI 1457373383

Southbay Advance Medical Group, Inc is a General Practice Physician in Gardena, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15731 S Western Ave
Gardena, CA 90247-6157
Phone: (310) 808-0199
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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 · Licence A27935 (CA)

Record details

NPI number1457373383
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Morris Halfon — Director · (310) 808-0199
NPI enumeratedJuly 23, 2006
Last updated in NPPESAugust 22, 2020
Mailing address15731 S Western Ave, Gardena, CA 90247-6157

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