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

South Atlantic Medical Group, Inc

Organization General Practice Physician · NPI 1710160627

South Atlantic Medical Group, Inc provides General Practice Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

5504 Whittier Blvd
Los Angeles, CA 90022-4104 Not confirmed with CMS for 17 years — call before visiting
Phone: (323) 725-0167
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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 A41061 (CA)

Record details

NPI number1710160627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nissan Kahen — Medical Director · (323) 725-0167
NPI enumeratedDecember 13, 2007
Last updated in NPPESJuly 28, 2009
Mailing address5504 Whittier Blvd, Los Angeles, CA 90022-4104

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