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Southland Renal Medical Group, Inc
Nephrology Physician in Fountain Valley, California
NPI 1134252679

Southland Renal Medical Group, Inc is a Nephrology Physician based in Lakewood, CA and is specialized in Nephrology. Southland Renal Medical Group, Inc practices in Fountain Valley, CA. The NPI Number for Southland Renal Medical Group, Inc is 1134252679 and holds a License No. A46344 (California).

The current practice location address for Southland Renal Medical Group, Inc is 18111 Brookhurst St Ste 6700, Fountain Valley, CA and can be reached out via phone at 562-630-3111 and via fax at 562-630-3107.

Location: 18111 Brookhurst St Ste 6700, Fountain Valley, CA, 90805-4598
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134252679
Provider Name
Southland Renal Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
18111 Brookhurst St Ste 6700, Fountain Valley, CA, 90805-4598
Phone Number
562-630-3111
Fax Number
562-630-3107
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0093374 05 CA
institution
Provider Business Practice Location Address Details
Address
18111 Brookhurst St Ste 6700
City
Fountain Valley
State
California
Zip
92708
Phone Number
562-630-3111
Fax Number
562-630-3107
person
Provider Business Mailing Address Details
Address
18111 Brookhurst St Ste 6700
City
Fountain Valley
State
California
Zip
92708
Phone Number
562-630-3111
Fax Number
562-630-3107
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
A46344 (California)
Definition
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.
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