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Organization

SOUTHERN MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RAHIL RASHID KHAN M.D. (OWNER)
(562) 426-4900
Entity
Organization

Contact information

Practice address
4014 LONG BEACH BLVD, SUITE 100, LONG BEACH, CA 90807-5407
(562) 426-4900
Mailing address
4014 LONG BEACH BLVD, SUITE 100, LONG BEACH, CA 90807-5407
(562) 426-4900

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A62362
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A62362
CA
208100000X
Physical Medicine & Rehabilitation Physician
A62362
CA
2083X0100X
Occupational Medicine Physician
Primary
A62362
CA
208D00000X
General Practice Physician
A62362
CA
208VP0000X
Pain Medicine Physician
A62362
CA

Other

Enumeration date
12/22/2014
Last updated
12/22/2014
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