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

Southland Renal Medical Group, Inc

Organization Nephrology Physician · NPI 1730110495

Southland Renal Medical Group, Inc provides Nephrology Physician services in Long Beach, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3300 E South St Ste 308
Long Beach, CA 90805-4598
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 number1730110495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Avedik Semerjian — President · (562) 630-3111
NPI enumeratedJuly 5, 2006
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing addressPo Box 879, Lakewood, CA 90714-0879

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