Southland Renal Medical Group, Inc
Southland Renal Medical Group, Inc provides Nephrology Physician services in Fountain Valley, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
18111 Brookhurst St Ste 6700Fountain Valley, CA 92708
Phone: (562) 630-3111
Fax: (562) 630-3107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nephrology Physician (primary) | Taxonomy 207RN0300X · Licence A46344 (CA) |
|---|
Record details
| NPI number | 1134252679 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cora Fischman — Coo · (562) 630-3111 |
| NPI enumerated | March 13, 2007 |
| Last updated in NPPES | August 15, 2018 |
| Mailing address | 3300 E South St Ste 308, Lakewood, CA 90805-4598 |
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