NPIMap

Organization Active NPI

Southland Neurologic Associates

  • Neurology Physician
  • Long Beach, CA
National Provider Identifier
1245587070
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SOUTHLAND NEUROLOGIC ASSOCIATES
Practice address
3747 Worsam Ave, #100
Long Beach, CA 90808-1774
Phone
(562) 430-3114
Fax
(562) 430-7718
NPI assigned
Aug 10, 2012
Last updated
Aug 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Dr. Allan Cohen, M.D.
Title
Physician/Ceo
Phone
(562) 430-3114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary
Diagnostic Radiology Physician 2085R0202X

Addresses

Primary practice location

3747 Worsam Ave, #100
Long Beach, CA 90808-1774

Mailing address

3747 Worsham Ave # 100
Long Beach, CA 90808-1774
Phone (562) 430-3114

National Provider Directory

National Provider Directory

Locations

3747 Worsham Ave
Ste 100
Long Beach, CA 90808
Phone (562) 430-3114

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1245587070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE # 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081774",
            "telephone_number": "562-430-3114",
            "fax_number": "562-430-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 WORSAM AVE, #100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081774",
            "telephone_number": "562-430-3114",
            "fax_number": "562-430-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND NEUROLOGIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "562-430-3114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.