SOUTHLAND RENAL MEDICAL GROUP, INC

FOUNTAIN VALLEY, CA
NPI1134252679
Entity TypeOrganization
Authorized ContactCORA FISCHMAN
COO
562-630-3111
Organization Subpart ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
(Licence: CA  A46344)
Enumeration Date2007-03-13
Last Update Date2018-08-15
Business Address
SOUTHLAND RENAL MEDICAL GROUP, INC
18111 BROOKHURST ST STE 6700
FOUNTAIN VALLEY, CA 92708
Phone number: 562-630-3111
Mailing Address
SOUTHLAND RENAL MEDICAL GROUP, INC
3300 E SOUTH ST STE 308
LAKEWOOD, CA 90805-4598
Phone number: 562-630-3111
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