Southland Neurologic Associates of Orange County Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G20309 Issued in CA

Legal business name

SOUTHLAND NEUROLOGIC ASSOCIATES OF ORANGE COUNTY INC

Practice address

3747 Worsham Avenue
#100
Long Beach, CA 90808-1774

Phone

(562) 430-4513

Fax

(562) 430-7718

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alan H Cohen, M.D

Title

Ceo

Phone

(562) 430-4513

Specialties & licenses 3

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1265486757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVENUE",
            "address_2": "#100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081774",
            "telephone_number": "562-430-4513",
            "fax_number": "562-430-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVENUE",
            "address_2": "#100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081774",
            "telephone_number": "562-430-4513",
            "fax_number": "562-430-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND NEUROLOGIC ASSOCIATES OF ORANGE COUNTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-430-4513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G20309",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Pulmonologists and Intensivists Network
• Southern Los Angeles County Anesthesia Medical Group Incorporated
• Southern Medical Corporation
• Mikeisha Ann Southern
• Southland Neurologic Associates
• Southland Neurologic Institute
• Southland Neurologic Institute
• Southland Neurologic Institute
• Southland Neurologic Institute a Medical Corporation
• Southland Renal Medical Group, Inc

• Neurology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.