# SOUTHWIND MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** first advantage medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578642088
- **Authorized official:** JOHN WARREN (PRESIDENT)
- **Authorized official phone:** (714) 963-0955

## Contact information

- **Practice address:** 17931 EUCLID ST, FOUNTAIN VALLEY, CA 92708-5409
- **Practice address phone:** (714) 963-0955
- **Mailing address:** 17931 EUCLID ST, FOUNTAIN VALLEY, CA 92708-5409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A64244 | CA | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 08/22/2020