SOUTHERN MEDICAL CORPORATION (NPI# 1700274982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700274982 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MEDICAL CORPORATION |
| Practice Address |
4014 Long Beach Blvd Suite 100 Long Beach CA 90807-5407 |
| Practice Telephone | 5624264900 |
| Mailing Telephone | 5624264900 |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |
| Authorized Official Name | DR. RAHIL RASHID KHAN (OWNER) |
| Authorized Official Telephone | 5624264900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | A62362 | CA | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
A62362 | CA | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | A62362 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | A62362 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
A62362 | CA | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
A62362 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4014 LONG BEACH BLVD SUITE 100 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90807-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588630081 | Excell Home Care, Inc. | Home Health | 4014 Long Beach Blvd, Suite 300, Long Beach, CA 90807-5413 | 2006-02-24 |
| 1609264167 | Rhonda Miller | Chiropractor | 4014 Long Beach Blvd, Ste 100, Long Beach, CA 90807-5407 | 2015-01-06 |
| 1205955986 | Long Beach Prime Medical Group Inc | Orthopaedic Surgery | 4014 Long Beach Blvd, #210, Long Beach, CA 90807-5407 | 2007-03-27 |
| 1659445542 | Julian Esmaeil Tafreshi | Chiropractor | 4014 Long Beach Blvd, Suite 210, Long Beach, CA 90807-5407 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359434 | Kanna Lynn Curtis | Behavioral Analyst | 3491 Elm Avenue, Long Beach, CA 90807 | 2019-08-01 |
| 1891359394 | David Smith Samuel Tchon Dds Inc | Dentist | 4231 Long Beach Blvd, Long Beach, CA 90807 | 2019-04-30 |
| 1477038354 | Ryan Bacani | Registered Nurse | 4506 N Banner Drive Apt 3, Long Beach, CA 90807 | 2018-09-26 |
| 1508363516 | Joemari Salvani | Dentist | 4578 Atlantic Avenue, Long Beach, CA 90807 | 2018-04-07 |
| 1881110096 | Shafeeullah Hashim Gaines | Counselor | 4335 Altantic Ave, Long Beach, CA 90807 | 2017-08-18 |
| 1295259943 | Debresia Jackson | Community Health Worker | 900 E. Wardlow Rd, Long Beach, CA 90807 | 2017-08-02 |
| 1073036315 | United Mobile Rad LLC | Radiologic Technologist | 1720 E Cartagena St, Long Beach, CA 90807 | 2017-07-19 |
| 1336675800 | La-pham and Kansagra Dental Corporation | Dentist | 4578 Atlantic Ave, Long Beach, CA 90807 | 2017-05-03 |
| 1114462637 | Andunett Langhum | Counselor | 4335 Atlantic Blved, Long Beach, CA 90807 | 2016-12-20 |
| 1942742507 | Mt Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3646 Long Beach Blvd Ste 212, Long Beach, CA 90807 | 2016-11-14 |
| Find all providers in zip 90807 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881872489 | Ernest Prochazka | Preventive Medicine | 6147 E Huntdale St, Long Beach, CA 90808-2937 | 2008-02-06 |
| 1851460505 | Frederick Gray Asche | Preventive Medicine | 1720 Termino Avenue, Memorial Occupational Medical Services, Long Beach, CA 90804 | 2006-11-07 |
| 1992796726 | Atonis Pax | Preventive Medicine | 5584 N Paramount Blvd Ste 100, Long Beach, CA 90805-5149 | 2005-11-01 |
| 1225583057 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 100 Oceangate, P245, Long Beach, CA 90802-4312 | 2016-08-22 |
| 1164632527 | Charles Brian Tang | Preventive Medicine | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-23 |
| 1407065139 | Helen H.r. Tang | Preventive Medicine | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2007-05-21 |
| 1962622597 | Irene L Grace | Preventive Medicine | 2525 Grand Ave, Room 183, Long Beach, CA 90815-1765 | 2007-04-26 |
| 1487717930 | Care Onsite, Inc. | Preventive Medicine | 1250 Pacific Ave, Long Beach, CA 90813-3026 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616240 | Universal Point Clinics Corporation | Preventive Medicine | 1236 Brooks St, Ontario, CA 91762-3608 | 2020-10-09 |
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1790332260 | Aftim A Saba | Preventive Medicine | 1675 7th St Rm 232, Oakland, CA 94615-0002 | 2019-08-20 |
| 1619520905 | Lauren Krumholz Edwards | Preventive Medicine | 3421 Empresa Dr Ste D, San Luis Obispo, CA 93401-7364 | 2019-07-16 |
| 1184285827 | Gurmu Occmed Services Inc | Preventive Medicine | 500 Greenfield Ave, Hanford, CA 93230-3515 | 2019-06-24 |
| 1831605625 | Med Fit Consulting, Inc. | Preventive Medicine | 10425 Tierrasanta Blvd Ste 108, San Diego, CA 92124-2618 | 2017-12-16 |
| 1619482239 | American Health Enterprises, Inc. | Preventive Medicine | 9500 Stockdale Hwy Ste 101, Bakersfield, CA 93311-3621 | 2017-12-05 |
| 1295249548 | Rose Donna Maria Baytop | Preventive Medicine | 2200 Pacific Hwy # Mzq-4, San Diego, CA 92101-1745 | 2017-11-24 |
| 1699295790 | U.S. Healthworks Medical Group, P.C. | Preventive Medicine | 2550 N Hollywood Way Ste 100, Burbank, CA 91505-5015 | 2017-06-21 |
| 1427588706 | Metro Healthcare Medical Corporation | Preventive Medicine | 3440 Wilshire Blvd Ste 1207, Los Angeles, CA 90010-2127 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90807 |
Please comment or provide details below to improve the information on SOUTHERN MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.