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 1730110495

Southland Renal Medical Group, Inc is a Nephrology Physician 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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