Southland Renal Medical Group, Inc

LBN: Southland Renal Medical Group, Inc
Southland Renal Medical Group, Inc is an health care organization with primary practice located at 18111 Brookhurst St Ste 6700 , Fountain Valley CA 92708. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Southland Renal Medical Group, Inc can be contacted via phone (562) 630-3111, or through Fischman, Cora via phone (562) 630-3111.

Contact Information

Primary practice address
18111 Brookhurst St Ste 6700 Fountain Valley CA 92708
Phone: (562) 630-3111
Fax: (562) 630-3107
Website:
Map and Directions
Authorized official contact:
Name: Fischman, Cora
Phone: (562) 630-3111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A46344 California

Profile Details

NPI number 1134252679
LBN Legal business name Southland Renal Medical Group, Inc
DBA Doing business as
Authorized official Fischman, Cora
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated Aug 15th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134252679 NPPES
California MEDICAID GR0093374

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