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 3300 E. South Street Suite 308, Long Beach CA 90805-4598. 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 Semerjian, Avedik via phone (562) 630-3111.

Contact Information

Primary practice address
3300 E. South Street Suite 308 Long Beach CA 90805-4598
Phone: (562) 630-3111
Fax: (562) 630-3107
Website:
Map and Directions
Authorized official contact:
Name: Semerjian, Avedik MD, FACP, FASN
Phone: (562) 630-3111

Health care specialties

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

Profile Details

NPI number 1730110495
LBN Legal business name Southland Renal Medical Group, Inc.
DBA Doing business as
Authorized official Semerjian, Avedik MD, FACP, FASN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2024 - about 2 months 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 1730110495 NPPES
California MEDICAID GR0093370

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