Southland Renal Medical Group, Inc. in Long Beach - Nephrology
Southland Renal Medical Group, Inc. - NPI 1205969748
Southland Renal Medical Group, Inc. is a Nephrology in Long Beach, 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 1205969748. The last update date is 2020-11-23.
Southland Renal Medical Group, Inc.'s current location address is 3300 E. South Street, Long Beach, California. You can contact this provider via phone number 5626303111 and fax number 5626303107. The mailing address for Southland Renal Medical Group, Inc. is 3300 E. South Street, Long Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southland Renal Medical Group, Inc. |
|---|---|
| Address | 3300 E. South Street, Long Beach, California |
| Phone Number | 5626303111 |
| Fax Number | 5626303107 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Semerjian Avedik |
| Credentials | MD |
| Telephone Number | 5626303111 |
NPI Number Detail
| NPI Number | 1205969748 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2020-11-23 |
Provider Mailing Address Detail
| Address | 3300 E. South Street |
|---|---|
| City | Long Beach |
| State | California (CA) |
| Post Code | 908054598 |
| 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 |
|---|---|---|---|
| GR0093371 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southland Renal Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Southland Renal Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1205969748 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Southland Renal Medical Group, Inc.'s facilities are geographically located?
The facilities of Southland Renal Medical Group, Inc. are physically situated at the following location: 3300 E. South Street, Long Beach, CA, 908054598.
What is Southland Renal Medical Group, Inc.'s area of expertise and its corresponding taxonomy classification?
The Southland Renal Medical Group, Inc.'s field of specialization is Nephrology, and it falls under the taxonomy code 207Rn0300X, which categorizes healthcare providers based on their areas of practice.
On what date did Southland Renal Medical Group, Inc. receive its 1205969748 assignment from the Centers for Medicare & Medicaid Services?
The Southland Renal Medical Group, Inc. was assigned its 1205969748 on 2007-03-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Southland Renal Medical Group, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Southland Renal Medical Group, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-11-23.