NPI: 1104149798
Provider Name: SOUTHLAND OUTPATIENT RECOVERY CENTER
Doing Business As: SOUTHLAND OUTPATIENT SERVICES
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Address:
8511 COMPTON AVE
ZEBRA ROOM A & B
LOS ANGELES, CA
ZIP 90001
Phone: (310) 637-0341
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SOUTHLAND OUTPATIENT RECOVERY CENTER is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Los Angeles, CA. SOUTHLAND OUTPATIENT RECOVERY CENTER NPI is 1104149798. The provider is registered as an organization entity type.
The provider Is Doing Business As Southland Outpatient Services.
The provider's business location address is:
8511 COMPTON AVE
ZEBRA ROOM A & B
LOS ANGELES, CA
ZIP 90001-921
Phone: (310) 637-0341
The provider's authorized official is Sunday I Okoro .
The authorized official title is C.e.o. and has the following contact phone number (310) 637-0341.
The enumeration date for this NPI number is 3/10/2010 and was last updated on 1/14/2011.