Organization
SOUTHBAY ADVANCE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS HALFON MD (DIRECTOR)
(310) 808-0199
Entity
Organization
Contact information
Practice address
15731 S WESTERN AVE, GARDENA, CA 90247-6157
(310) 808-0199
Mailing address
15731 S WESTERN AVE, GARDENA, CA 90247-6157
(310) 808-0199
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A27935
CA
Other
Enumeration date
07/23/2006
Last updated
08/22/2020
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