Southland Renal Medical Group, Inc.
NPI 1730110495ActiveOrganization· Internal Medicine, Nephrology· Long Beach, CA
Internal Medicine, Nephrology in Long Beach, California, registered in NPPES in July 2006. The authorized official on file is Avedik Semerjian, MD, FACP, FASN, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1730110495 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 5, 2006 |
| Last updated in NPPES | Jul 8, 2024 |
| Certified by provider | Jul 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | A46344 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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