South County Physicians Medical Group Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A63326 Issued in CA

Legal business name

SOUTH COUNTY PHYSICIANS MEDICAL GROUP INC.

Practice address

11180 Warner Ave
165
Fountain Valley, CA 92708-7501

Phone

(714) 751-0995

NPI assigned

May 10, 2007

Last updated

Jan 26, 2015By 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

Pam Calderon

Title

Billing Manager

Phone

(310) 343-8884

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles Cuong Quoc Huynh, D.O.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1841225885
  NPD (past)
• Harpreet Singh, MD

  • Specialist
  • Fountain Valley, CA
  • NPI 1295914216
  NPD (past)
• Khanh Phuong Nguyen, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1922168178
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1790990257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8907",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927288907",
            "telephone_number": "714-546-7118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 WARNER AVE",
            "address_2": "165",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087501",
            "telephone_number": "714-751-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY PHYSICIANS MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "310-343-8884"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Sottosanti
• South Coast Behavioral Health
• South Coast Children's Society, Inc
• South Coast Therapists, Inc.
• South Counties Pediatric Critical Care Medical Group
• Southern California Center for Advanced Gynecology a Medical Corp (Southern California Center For Advanced Gynecology)
• Southern Califronia Specialists, Inc
• Southern Heart Clinic, Inc.
• Briana Nicole Southern
• Southland Eye Care Associates Inc

• Internal Medicine Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.