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General NPI Number Information
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NPI Number | 1700063864
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Entity Type | Organization
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Legal Business Name | SOUTH BAY COMPANIES GROUP, INC.
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 133 W 155TH ST
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City | GARDENA
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State | CA
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Zip | 90248-2203
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Country | US
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Telephone | 310-767-1300
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Fax | 310-767-1303
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Provider Business Mailing Address
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Address Line | 133 W 155TH ST
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City | GARDENA
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State | CA
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Zip | 90248-2203
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Country | US
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Telephone | 310-767-1300
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Fax | 310-767-1303
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Authorized Official
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Title or Position | CEO
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Name | MR. EDUARDO PARRA
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Credential |
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Telephone | 310-798-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 1930
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1930
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License Number State | CA
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