Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Atlantic Medical Group

Organization General Practice Physician · NPI 1306029806

South Atlantic Medical Group provides General Practice Physician services 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 Not confirmed with CMS for 18 years — call before visiting
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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