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 2865 Atlantic Ave Suite 101, Long Beach CA 90806-1740. 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) 427-0350, or through Rodriguez, Sandra via phone (562) 630-3111.

Contact Information

Primary practice address
2865 Atlantic Ave Suite 101 Long Beach CA 90806-1740
Phone: (562) 427-0350
Fax: (560) 630-3107
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Sandra
Phone: (562) 630-3111

Health care specialties

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

Profile Details

NPI number 1447383971
LBN Legal business name Southland Renal Medical Group, Inc
DBA Doing business as
Authorized official Rodriguez, Sandra
Entity Organization
Organization subpart 1 No
Enumeration date Mar 13th, 2007
Last updated May 19th, 2008 - about 17 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 1447383971 NPPES
California MEDICAID GR0093372

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