Organization · Type 2 NPI
Southland Outpatient Recovery Center
Comprehensive Outpatient Rehabilitation Facility (CORF) · Los Angeles, CA
NPI number
1104149798
Active
Practice location
8511 Compton Ave, Zebra Room A & B
Los Angeles, CA 90001-3921
Mailing address
PO Box 17144
Long Beach, CA 90807-7144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) Primary | 261QR0401X | 10000362 (CA) |
Comprehensive Outpatient Rehabilitation Facility (CORF): Definition to come...
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About NPI 1104149798
Southland Outpatient Recovery Center's National Provider Identifier is 1104149798, issued on Mar 10, 2010. The primary taxonomy on file is Comprehensive Outpatient Rehabilitation Facility (CORF) (261QR0401X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 14, 2011.