Organization
SOUTHLAND MEDICAL CARE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYLVESTER ASHIEDU OKOCHA RESPIROTORY THERAPIS (PRESIDENT)
(213) 738-0020
Entity
Organization
Contact information
Practice address
3550 WILSHIRE BLVD, SUITE 1138, LOS ANGELES, CA 90010-2401
(213) 738-0020
(213) 738-0024
Mailing address
3550 WILSHIRE BLVD, SUITE 1138, LOS ANGELES, CA 90010-2401
(213) 738-0020
(213) 738-0024
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
103221
CA
Other
Enumeration date
08/02/2006
Last updated
10/31/2007
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