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Organization
SOUTH BAY PSYCHIATRIC MEDICAL GROUP, INC.
Active
Organization
SOUTH BAY PSYCHIATRIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN GEORGE CAINE M.D. (OWNER)
(310) 326-5102
Entity
Organization
Contact information
Practice address
3812 SEPULVEDA BLVD, SUITE 340, TORRANCE, CA 90505-2479
(310) 326-5102
(310) 303-7906
Mailing address
3812 SEPULVEDA BLVD, SUITE 340, TORRANCE, CA 90505-2479
(310) 326-5102
(310) 303-7906
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G12654
CA
Other
Enumeration date
11/14/2006
Last updated
05/07/2009
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