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 1205969748

Southland Renal Medical Group, Inc is a Nephrology Physician in Los Alamitos, 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

4152 Katella Ave Ste 201
Los Alamitos, CA 90720-6608
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 number1205969748
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthland Renal Medical Group, Inc
Authorized official Avedik Semerjian — Secretary · (562) 630-3111
NPI enumeratedMarch 13, 2007
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address3300 E. South Street, Suite 308, Long Beach, CA 90805-4598

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