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General NPI Number Information
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NPI Number | 1578783221
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Entity Type | Organization
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Legal Business Name | SOUTH BAY COMPREHENSIVE MEDICAL GROUP
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1408 CRENSHAW BLVD
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City | TORRANCE
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State | CA
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Zip | 90501-2433
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Country | US
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Telephone | 310-328-3738
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 CRENSHAW BLVD
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City | TORRANCE
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State | CA
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Zip | 90501-2433
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Country | US
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Telephone | 310-328-3738
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Fax |
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Authorized Official
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Title or Position | OFFICE ADMIN.
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Name | MRS. CATHY MARY RITTERBUSH
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Credential |
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Telephone | 310-328-3738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A86714
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC22422
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License Number State | CA
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