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

Southland Renal Medical Group, Inc

Organization Nephrology Physician · NPI 1134252679

Southland Renal Medical Group, Inc is a Nephrology Physician 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.

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Practice location Address checks out

18111 Brookhurst St Ste 6700
Fountain Valley, CA 92708
Phone: (562) 630-3111
Fax: (562) 630-3107
Show map & directions

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 number1134252679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cora Fischman — Coo · (562) 630-3111
NPI enumeratedMarch 13, 2007
Last updated in NPPESAugust 15, 2018
Mailing address3300 E South St Ste 308, Lakewood, CA 90805-4598

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