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Organization
SU SALUD MEDICAL GROUP INC
Active
Organization
SU SALUD MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDEL N ABDELSAYED MD (MEDICAL DIRECTOR)
(323) 918-2700
Entity
Organization
Contact information
Practice address
7418 STATE ST, HUNTINGTON PARK, CA 90255-5928
(323) 835-6298
(323) 835-6081
Mailing address
7418 STATE ST, HUNTINGTON PARK, CA 90255-5928
(323) 835-6298
(323) 835-6081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922164961
—
CA
Enumeration date
09/19/2019
Last updated
05/01/2020
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