Southland Outpatient Recovery Center

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

3027962 Issued in CA

Legal business name

SOUTHLAND OUTPATIENT RECOVERY CENTER

Practice address

920 N Long Beach Blvd
1,2,& 3
Compton, CA 90221-2260

Phone

(562) 537-3396

NPI assigned

Jul 29, 2008

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

Ceo

Phone

(562) 884-2220

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)
  • Los Angeles, CA
  • NPI 1104149798
  NPD tax ID

Locations

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1225294341",
    "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": "562-884-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N LONG BEACH BLVD",
            "address_2": "1,2,& 3",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "902212260",
            "telephone_number": "562-537-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND OUTPATIENT RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "SUNDAY",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-884-2220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "CA",
            "license": "3027962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland Outpatient Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justin Seungbae Song
• Sorour DMD Dental Practice
• Deborah Soto
• Yesenia Soto
• South Bay X-Ray
• Southwest Treatment Center, Inc.
• Southwest Treatment Center, Inc.
• Danyell Carmalita Sparks
• Samuel Spear
• Special Service for Groups, Inc.

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Compton, CA
• Providers in Compton, 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 Nov 26, 2012; 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.