Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Southern Medical Corporation

Organization Dermatology Physician · NPI 1700274982

Southern Medical Corporation provides Dermatology Physician services in Long Beach, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
Specialties on file
6

Practice location Address checks out

4014 Long Beach Blvd Ste 100
Long Beach, CA 90807-5407 Not confirmed with CMS for 11 years — call before visiting
Phone: (562) 426-4900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence A62362 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence A62362 (CA)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence A62362 (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence A62362 (CA)
General Practice Physician Taxonomy 208D00000X · Licence A62362 (CA)
Pain Medicine Physician Taxonomy 208VP0000X · Licence A62362 (CA)

Record details

NPI number1700274982
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rahil Khan — Owner · (562) 426-4900
NPI enumeratedDecember 22, 2014
Last updated in NPPESDecember 22, 2014
Mailing address4014 Long Beach Blvd, Suite 100, Long Beach, CA 90807-5407

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