Organization
SOUTHWIND MEDICAL GROUP
Active
Organization
SOUTHWIND MEDICAL GROUP
Active
Other names
first advantage medical
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WARREN (PRESIDENT)
(714) 963-0955
Entity
Organization
Contact information
Practice address
17931 EUCLID ST, FOUNTAIN VALLEY, CA 92708-5409
(714) 963-0955
Mailing address
17931 EUCLID ST, FOUNTAIN VALLEY, CA 92708-5409
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A64244
CA
Other
Enumeration date
11/03/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up