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SOUTHLAND MED GROUP
NPI 1679707822
Internal Medicine in San Diego, CA

Active since May 02, 2009
1804 GARNET AVE, SUITE 461, SAN DIEGO, CA 92109(619) 788-4570 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southland Med Group NPPES

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

SOUTHLAND MED GROUP (NPI 1679707822) is a healthcare organization registered as an internal medicine in San Diego, California and active in the NPI registry since May 2009. The organization lists Michael B Bunim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679707822
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHLAND MED GROUP
Location Address1804 GARNET AVE, SUITE 461San Diego, CA 92109-3352
Mailing Address1804 Garnet Ave, Suite 461San Diego, CA 92109-3352
Phone(619) 788-4570
Organization SubpartNo
Authorized OfficialMichael B BunimCeo · (619) 788-4570
Enumeration DateMay 2, 2009
Last NPPES UpdateSeptember 15, 2009
✔ NPI 1679707822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G18820
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1804 GARNET AVE, San Diego, CA 92109
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Other Identifiers 1

Medicare PINBS689ACA

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

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

DR. SHAUNAK VIJAY RANA M.D.
Internal Medicine (Nephrology)
1804 GARNET AVE, #721
SAN DIEGO, CA 92109
San Diego County (312) 863-9100

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 Med Group's NPI number?

The NPI number for Southland Med Group is 1679707822. It was assigned to this organization in the NPPES registry on May 2, 2009.

Where is Southland Med Group located?

Southland Med Group is located at 1804 Garnet Ave Suite 461, San Diego, CA 92109. The listed phone number is (619) 788-4570.

What is Southland Med Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southland Med Group was last updated on September 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.