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

Southbay Advance Medical Group, Inc

Organization General Practice Physician · NPI 1457373383

Southbay Advance Medical Group, Inc provides General Practice Physician services 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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