Southland Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

52671 Issued in CA

Legal business name

SOUTHLAND MEDICAL SUPPLY

Practice address

27511 Commerce Center Dr
Ste C
Temecula, CA 92590-2528

Phone

(951) 699-6334

NPI assigned

Aug 19, 2015

Organization subpart

No

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

Authorized official

Name

Tarek Rayyan

Title

Treasurer

Phone

(951) 699-6334

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439942400000",
    "number": "1417323916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27511 COMMERCE CENTER DR",
            "address_2": "STE C",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902528",
            "telephone_number": "951-699-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27511 COMMERCE CENTER DR",
            "address_2": "STE C",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925902528",
            "telephone_number": "951-699-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A",
        "authorized_official_last_name": "RAYYAN",
        "authorized_official_first_name": "TAREK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "951-699-6334"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "52671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern California Detox
• Southern California Internal Medicine Group
• Southern California Internal Medicine, Inc.
• Southland Arthrites and Osteoporosis Medical Center Inc
• Southland Marriage and Family
• Southwest Cardiology Medical Group, Inc.
• Southwest Family Counseling Inc
• Southwest Heart Institute Medical Corporation
• Southwest Orthopaedic Trauma
• Tobee A Souvannasing

• Oxygen Equipment & Supplies (DME) in Temecula, CA
• Providers in Temecula, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.