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South Atlantic Medical Group

General Practice Physician in Huntington Park, CA · enumerated 2007 · authorized official Nissan Kahen, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629251541

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Registry record

Entity type Organization (Type 2)
Legal business name South Atlantic Medical Group
Practice address 2616 Clarendon Ave, Huntington Park, CA, 90255
Phone (323) 589-6633
Enumeration date Dec 13, 2007
Last updated in NPPES Dec 13, 2007

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License A41061 (CA) Primary

Authorized official

Name Nissan Kahen
Title Medical Director
Phone (323) 725-0167

Other identifiers

Identifier Type State Issuer
GR0020632 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is South Atlantic Medical Group?
South Atlantic Medical Group is registered in NPPES as a General Practice Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-13.