South Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTH MEDICAL GROUP

Practice address

1530 E South St
Long Beach, CA 90805-4341

Phone

(562) 984-9200

NPI assigned

Nov 28, 2008

Last updated

Nov 28, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kwabena Obeng

Title

Administrator

Phone

(310) 800-7963

Specialties & licenses 5

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227830400000",
    "number": "1427203785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E SOUTH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908054341",
            "telephone_number": "562-984-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-28",
        "last_updated": "2008-11-28",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "KWABENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-800-7963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Psychiatric Group, a Medical Corporation
• South Bay Skin and Wound Care
• South Bay Surgical and Spine Institute
• South Coast Health Care Corp
• South Medical Clinic
• Lara Lynn South, PHD
• Bali Southam
• Alea Southard
• Southern California Medical Center, Inc.
• Southern California Medical Coalition Inc.

• Family Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.