NPIMap

Organization Active NPI

Southland Neurologic Institute

  • Specialist
  • Long Beach, CA
National Provider Identifier
1912324914
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTHLAND NEUROLOGIC INSTITUTE
Practice address
3747 Worsham Ave
Long Beach, CA 90808-1731
Phone
(562) 430-4513
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Mr. Allan H Cohen
Title
Ceo
Phone
(562) 430-4513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3747 Worsham Ave
Long Beach, CA 90808-1731

Mailing address

3747 Worsham Ave
Long Beach, CA 90808-1731

National Provider Directory

National Provider Directory
Tax ID family
Southland Neurologic Institute3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1912324914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 WORSHAM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081731",
            "telephone_number": "562-430-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND NEUROLOGIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-430-4513",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 27, 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.