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SOUTHLAND RENAL MEDICAL GROUP, INC
NPI 1447383971
Internal Medicine - Nephrology in Long Beach, CA

Active since March 13, 2007
2865 ATLANTIC AVE, SUITE 101, LONG BEACH, CA 90806(562) 427-0350(560) 630-3107 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southland Renal Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHLAND RENAL MEDICAL GROUP, INC (NPI 1447383971) is a healthcare organization registered as a nephrology in Long Beach, California and active in the NPI registry since March 2007. The organization lists Sandra Rodriguez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447383971
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHLAND RENAL MEDICAL GROUP, INC
Location Address2865 ATLANTIC AVE, SUITE 101Long Beach, CA 90806-1740
Mailing Address3650 South St, Suite 301Lakewood, CA 90712-1502 · (562) 630-3111 · Fax (562) 630-3107
Phone(562) 427-0350
Fax(560) 630-3107
Organization SubpartNo
Authorized OfficialSandra RodriguezOffice Manager · (562) 630-3111
Enumeration DateMarch 13, 2007
Last NPPES UpdateMay 19, 2008
✔ NPI 1447383971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CA · A46344
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.
2865 ATLANTIC AVE, Long Beach, CA 90806
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Other Identifiers 2

Medicare PINW16145CA
MedicaidGR0093372CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN J. ACKER M.D.
Surgery
2865 ATLANTIC AVE, SUITE 202
LONG BEACH, CA 90806
Los Angeles County (562) 595-4444
VERONIQUE HEDWIGE JOTTERAND M.D.
Ophthalmology
2865 ATLANTIC AVE, SUITE 109
LONG BEACH, CA 90806
Los Angeles County (562) 988-2020
GHOLAMREZA F. POURZIA, M.D., INC
Internal Medicine (Cardiovascular Disease)
2865 ATLANTIC AVE, SUITE 221
LONG BEACH, CA 90806
Los Angeles County (562) 595-9073
KRISTEEN PENA
Physician Assistant
2865 ATLANTIC AVE, SUITE 205
LONG BEACH, CA 90806
Los Angeles County (562) 988-9333
GREGORY S THOMAS MD MPH CORPORATION
Internal Medicine (Cardiovascular Disease)
2865 ATLANTIC AVE, SUITE 104
LONG BEACH, CA 90806
Los Angeles County (562) 933-1820
JAMIE REYNAR DPT
Physical Therapist
2865 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 933-9001
HUMBERTO R. RAVELO, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2865 ATLANTIC AVE, 215
LONG BEACH, CA 90806
Los Angeles County (562) 427-4752
DANIEL M.BETHENCOURT, M.D., INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2865 ATLANTIC AVE, SUITE 205
LONG BEACH, CA 90806
Los Angeles County (562) 988-9333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southland Renal Medical Group, Inc's NPI number?

The NPI number for Southland Renal Medical Group, Inc is 1447383971. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Southland Renal Medical Group, Inc located?

Southland Renal Medical Group, Inc is located at 2865 Atlantic Ave Suite 101, Long Beach, CA 90806. The listed phone number is (562) 427-0350.

What is Southland Renal Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Southland Renal Medical Group, Inc was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.