# M.A. MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1578790234
- **Authorized official:** REUVEN F SISON M.D. (PRESIDENT)
- **Authorized official phone:** (626) 607-0333

## Contact information

- **Practice address:** 850 S ATLANTIC BLVD, SUITE 102, MONTEREY PARK, CA 91754-4730
- **Practice address phone:** (626) 607-0333
- **Practice address fax:** (626) 607-0379
- **Mailing address:** PO BOX 717, SOUTH GATE, CA 90280-0717
- **Mailing address phone:** (626) 607-0333
- **Mailing address fax:** (626) 607-0379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | A31954 | CA | — |
| 207Q00000X | Family Medicine Physician | A85883 | CA | Yes |

## Other

- **Enumeration date:** 06/19/2009
- **Last updated:** 06/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1225143274 | REUVEN F SISON NPI | CA |