| NPI | 1518440254 |
|---|---|
| Doing Business As | SOUTHERN REGIONAL MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DOAN Compliance Officer 310-259-4706 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: GA 031-710) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |