Active NPI
Southern Medical Corporation
- Occupational Medicine Physician
- Long Beach, CA
National Provider Identifier
1700274982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- A62362
- Legal business name
- SOUTHERN MEDICAL CORPORATION
- Practice address
- 4014 Long Beach Blvd
Suite 100
Long Beach, CA 90807-5407 - Phone
- (562) 426-4900
- NPI assigned
- Dec 22, 2014
- Last updated
- Dec 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rahil Rashid Khan, M.D.
- Title
- Owner
- Phone
- (562) 426-4900
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A62362 | CA | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A62362 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | A62362 | CA | |
| Occupational Medicine Physician | 2083X0100X | A62362 | CA | Primary |
| General Practice Physician | 208D00000X | A62362 | CA | |
| Pain Medicine Physician | 208VP0000X | A62362 | CA |
Addresses
Primary practice location
4014 Long Beach Blvd
Suite 100
Long Beach, CA 90807-5407
Mailing address
4014 Long Beach Blvd
Suite 100
Long Beach, CA 90807-5407
Phone (562) 426-4900
National Provider Directory
National Provider DirectoryLocations
4014 Long Beach Blvd
Ste 100
Long Beach, CA 90807
Phone (562) 426-4900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Long Beach, CA
- NPI 1609264167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419206400000",
"number": "1700274982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4014 LONG BEACH BLVD",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908075407",
"telephone_number": "562-426-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4014 LONG BEACH BLVD",
"address_2": "SUITE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908075407",
"telephone_number": "562-426-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-22",
"last_updated": "2014-12-22",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "RAHIL",
"authorized_official_middle_name": "RASHID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-426-4900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A62362",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A62362",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A62362",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "A62362",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A62362",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A62362",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
- Southern California Medical Coalition Inc.
- Southern California Medical Management, Inc
- Southern California Minimal Invasive Endoscopy Inc
- Southern California Pulmonologists and Intensivists Network
- Southern Los Angeles County Anesthesia Medical Group Incorporated
- Mikeisha Ann Southern
- Southland Neurologic Associates
- Southland Neurologic Associates of Orange County Inc
- Southland Neurologic Institute
- Southland Neurologic Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.