# SFS MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487318135
- **Authorized official:** MRS. FIDELIA NNACHETAM NP (OWNER)
- **Authorized official phone:** (310) 910-8372

## Contact information

- **Practice address:** 8611 CRENSHAW BLVD STE 210, INGLEWOOD, CA 90305-3306
- **Practice address phone:** (310) 910-8372
- **Practice address fax:** (310) 672-2280
- **Mailing address:** 9140 S NOBEL WAY, INGLEWOOD, CA 90305-1881
- **Mailing address phone:** (310) 910-8372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2021
- **Last updated:** 01/11/2022