Organization
SOUTHLAND OUTPATIENT RECOVERY CENTER
Active
Other names
Southland Outpatient Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SUNDAY I OKORO (C.E.O.)
(310) 637-0341
Entity
Organization
Contact information
Practice address
8511 COMPTON AVE, ZEBRA ROOM A & B, LOS ANGELES, CA 90001-3921
(310) 637-0341
Mailing address
PO BOX 17144, LONG BEACH, CA 90807-7144
(310) 637-0341
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
10000362
CA
Other
Enumeration date
03/10/2010
Last updated
01/14/2011
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