SOUTHLAND RENAL MEDICAL GROUP, INC – NPI #1134252679
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

SOUTHLAND RENAL MEDICAL GROUP, INC is a provider located in FOUNTAIN VALLEY, CA. NPPES has assigned the NPI number 1134252679 to SOUTHLAND RENAL MEDICAL GROUP, INC on March 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 8 years ago on Aug 15, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHLAND RENAL MEDICAL GROUP, INC below.

NPI Profile for
SOUTHLAND RENAL MEDICAL GROUP, INC

NPI Number
1134252679
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHLAND RENAL MEDICAL GROUP, INC
Primary location
18111 BROOKHURST ST STE 6700
FOUNTAIN VALLEY, CA 92708
Phone: (562) 630-3111 Fax: (562) 630-3107
Mailing address
3300 E SOUTH ST STE 308
LAKEWOOD, CA 90805-4598
Phone: (562) 630-3111 Fax: (562) 630-3107
Organization Subpart
No
Authorized Official
CORA FISCHMAN
COO
Phone: (562) 630-3111
Updated
Identifiers

Identifiers for SOUTHLAND RENAL MEDICAL GROUP, INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0093374
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 CA A46344

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.