Southland Renal Medical Group, Inc. in Lakewood - Nephrology
Southland Renal Medical Group, Inc. - NPI 1730110495
Southland Renal Medical Group, Inc. is a Nephrology in Lakewood, California. Southland Renal Medical Group, Inc. practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Southland Renal Medical Group, Inc. is 1730110495. The last update date is 2021-05-25.
Southland Renal Medical Group, Inc.'s current location address is Po Box 879, Lakewood, California. You can contact this provider via phone number 5626303111 and fax number 5626303107. The mailing address for Southland Renal Medical Group, Inc. is Po Box 879, Lakewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southland Renal Medical Group, Inc. |
|---|---|
| Address | Po Box 879, Lakewood, California |
| Phone Number | 5626303111 |
| Fax Number | 5626303107 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Semerjian Avedik |
| Credentials | MD, FACP, |
| Telephone Number | 5626303111 |
NPI Number Detail
| NPI Number | 1730110495 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2021-05-25 |
Provider Mailing Address Detail
| Address | Po Box 879 |
|---|---|
| City | Lakewood |
| State | California (CA) |
| Post Code | 907140879 |
| Phone Number | 5626303111 |
| Fax Number | 5626303107 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | A46344 |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0093370 | CA | -- |
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What is the Southland Renal Medical Group, Inc.'s 1730110495?
The Southland Renal Medical Group, Inc.'s NPI (National Provider Identifier) Number is 1730110495. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southland Renal Medical Group, Inc. located?
The Southland Renal Medical Group, Inc. is located at Po Box 879, Lakewood, CA 907140879.
What is the area of specialization for Southland Renal Medical Group, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southland Renal Medical Group, Inc. is Nephrology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rn0300X.
When was the Southland Renal Medical Group, Inc.'s 1730110495 issued?
The Southland Renal Medical Group, Inc.'s 1730110495 was issued on 2006-07-05.
When was the Southland Renal Medical Group, Inc.'s information last updated?
The Southland Renal Medical Group, Inc.'s information was last updated on 2021-05-25.