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SOUTHLAND RENAL MEDICAL GROUP, INC.
NPI 1730110495
Internal Medicine - Nephrology in Long Beach, CA

Active since July 05, 2006
3300 E. SOUTH STREET, SUITE 308, LONG BEACH, CA 90805(562) 630-3111(562) 630-3107 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 8, 2024, May 25, 2021, Mar 30, 2018 (3 updates tracked since 2018).

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 1730110495) is a healthcare organization registered as a nephrology in Long Beach, California and active in the NPI registry since July 2006. The organization lists Avedik Semerjian, President, as its authorized official.

NPPES Registry Identity

NPI1730110495
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHLAND RENAL MEDICAL GROUP, INC.
Location Address3300 E. SOUTH STREET, SUITE 308Long Beach, CA 90805-4598
Mailing AddressPo Box 879Lakewood, CA 90714-0879 · (562) 630-3111 · Fax (562) 630-3107
Phone(562) 630-3111
Fax(562) 630-3107
Organization SubpartNo
Authorized OfficialAvedik SemerjianPresident · (562) 630-3111
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
✔ NPI 1730110495 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.

3300 E. SOUTH STREET, Long Beach, CA 90805
Open in Google Maps ↗

Other Identifiers 1

MedicaidGR0093370CA

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. STEVEN LOY-NGAN ENG M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3300 E. SOUTH STREET, SUITE 103
LONG BEACH, CA 90805
Los Angeles County (562) 634-9803

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 1730110495. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Southland Renal Medical Group, Inc. located?

Southland Renal Medical Group, Inc. is located at 3300 E. South Street Suite 308, Long Beach, CA 90805. The listed phone number is (562) 630-3111.

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 July 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.