Organization Active NPI

Southland Medical Care,Inc.

  • Oxygen Equipment & Supplies (DME)
  • Los Angeles, CA
National Provider Identifier
1528075439
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
103221 Issued in CA
Legal business name
SOUTHLAND MEDICAL CARE,INC.
Practice address
3550 Wilshire Blvd
Suite 1138
Los Angeles, CA 90010-2401
Phone
(213) 738-0020
Fax
(213) 738-0024
NPI assigned
Aug 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Mr. Sylvester Ashiedu Okocha, RESPIROTORY THERAPIS
Title
President
Phone
(213) 738-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 103221 CA Primary

Addresses

Primary practice location

3550 Wilshire Blvd
Suite 1138
Los Angeles, CA 90010-2401

Mailing address

3550 Wilshire Blvd
Suite 1138
Los Angeles, CA 90010-2401
Phone (213) 738-0020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1528075439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 WILSHIRE BLVD",
            "address_2": "SUITE 1138",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102401",
            "telephone_number": "213-738-0020",
            "fax_number": "213-738-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 WILSHIRE BLVD",
            "address_2": "SUITE 1138",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102401",
            "telephone_number": "213-738-0020",
            "fax_number": "213-738-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND MEDICAL CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "OKOCHA",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "ASHIEDU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-738-0020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RESPIROTORY THERAPIS"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "103221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.