| NPI | 1104149798 |
|---|---|
| Doing Business As | SOUTHLAND OUTPATIENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | SUNDAY I OKORO C.E.O. 310-637-0341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 10000362) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2011-01-14 |