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 4152 Katella Ave Ste 201 , Los Alamitos CA 90720-6608. 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
4152 Katella Ave Ste 201
Los Alamitos CA 90720-6608
Phone: (562) 630-3111
Fax: (562) 630-3107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A46344 | California |
Profile Details
| NPI number | 1205969748 |
|---|---|
| LBN Legal business name | Southland Renal Medical Group, Inc. |
| DBA Doing business as | |
| Authorized official | Semerjian, Avedik Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Jul 8th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205969748 | NPPES |
| California | MEDICAID | GR0093371 |
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