SOUTHLAND RENAL MEDICAL GROUP, INC
NPI 1992838429
Internal Medicine - Nephrology in Downey, CA

Active since March 13, 2007
11480 BROOKSHIRE AVE, SUITE 110, DOWNEY, CA 90241(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: August 09, 2026.

Record update history: Jul 8, 2024, Apr 4, 2023, Aug 22, 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 1992838429) is a healthcare organization registered as a nephrology in Downey, California and active in the NPI registry since March 2007. The organization lists Cora Fischman, Coo, as its authorized official.

NPPES Registry Identity

NPI1992838429
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHLAND RENAL MEDICAL GROUP, INC
Location Address11480 BROOKSHIRE AVE, SUITE 110Downey, CA 90241
Mailing Address3300 E South St Ste 308Lakewood, CA 90805-4598 · (562) 630-3111 · Fax (562) 630-3107
Fax(562) 630-3107
Organization SubpartNo
Authorized OfficialCora FischmanCoo · (562) 630-3111
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 20243 updates tracked since enumeration
NPPES CertifiedJuly 8, 2024
NPI 1992838429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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.
11480 BROOKSHIRE AVE, Downey, CA 90241

Other Identifiers 1

MedicaidGR0093373CA

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.

Internal Medicine
11480 BROOKSHIRE AVE, SUITE #204
DOWNEY, CA 90241
Internal Medicine (Gastroenterology)
11480 BROOKSHIRE AVE, 200
DOWNEY, CA 90241
Internal Medicine (Hematology & Oncology)
11480 BROOKSHIRE AVE, SUITE 309
DOWNEY, CA 90241
Internal Medicine (Nephrology)
11480 BROOKSHIRE AVE, STE 302
DOWNEY, CA 90241
Physician Assistant
11480 BROOKSHIRE AVE, SUITE 309
DOWNEY, CA 90241
Surgery (Plastic and Reconstructive Surgery)
11480 BROOKSHIRE AVE, SUITE 306
DOWNEY, CA 90241
Internal Medicine (Hematology & Oncology)
11480 BROOKSHIRE AVE, SUITE 309
DOWNEY, CA 90241
Nurse Practitioner (Family)
11480 BROOKSHIRE AVE, SUITE 308
DOWNEY, CA 90241

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 1992838429. 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 11480 Brookshire Ave Suite 110, Downey, CA 90241. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.