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Organization
SOUTHLAND ADVANTAGE MEDICAL GROUP, INC.
Active
Organization
SOUTHLAND ADVANTAGE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SON H. LE M.D. (PRESIDENT)
(714) 947-8600
Entity
Organization
Contact information
Practice address
5785 CORPORATE AVE., CYPRESS, CA 90630-4726
(714) 947-8600
Mailing address
P.O. BOX 6300, CYPRESS, CA 90630-0063
(714) 947-8600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Enumeration date
12/11/2009
Last updated
05/16/2023
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