Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Medical Corporation

Organization Dermatology Physician · NPI 1700274982

Southern Medical Corporation is a Dermatology Physician 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
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Practice location Address checks out

4014 Long Beach Blvd Ste 100
Long Beach, CA 90807-5407
Phone: (562) 426-4900
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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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