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

Senior Support Medical Group PC

Organization General Practice Physician · NPI 1831017227

Senior Support Medical Group PC provides General Practice Physician services 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 number1831017227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Shen — 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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