Organization
SOUTHLAND RESPIRATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN MANIO (PRESIDENT)
(951) 588-3946
Entity
Organization
Contact information
Practice address
11711 STERLING AVE STE D, RIVERSIDE, CA 92503-4973
(951) 785-4232
(951) 785-4242
Mailing address
11711 STERLING AVE STE D, RIVERSIDE, CA 92503-4973
(951) 785-4232
(951) 785-4242
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03421F
—
CA
Enumeration date
09/17/2006
Last updated
04/30/2013
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