Southland Outpatient Recovery Center

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

10000362 Issued in CA

Legal business name

SOUTHLAND OUTPATIENT RECOVERY CENTER

Practice address

8511 Compton Ave
Zebra Room a & B
Los Angeles, CA 90001-3921

Phone

(310) 637-0341

NPI assigned

Mar 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sunday I Okoro

Title

C.E.O.

Phone

(310) 637-0341

Specialties & licenses 1

Addresses

Other names 1

• Southland Outpatient Services Doing business as

Tax ID family

Southland Outpatient Recovery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southland Outpatient Recovery Center

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Compton, CA
  • NPI 1225294341
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1104149798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17144",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908077144",
            "telephone_number": "310-637-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 COMPTON AVE",
            "address_2": "ZEBRA ROOM A & B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900013921",
            "telephone_number": "310-637-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND OUTPATIENT RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "310-637-0341",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "10000362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southern California Vascular Group, Inc
• Kristina Southern, MSW
• Sia Amber Southern, LCSW
• Southland Home Health Care, Inc.
• Southland Medical Care,Inc.
• Southwest Home Health Supplies
• Taylor Southworth, MD
• Luiz Souza-Filho, M.D.
• Jamie Souza, DPT
• Nadia Souza

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.