| NPI | 1881011419 |
|---|---|
| Former Legal Business Name | SOUTHLAND NEUROLOGIC INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | LETY SANTANA Manager 562-430-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |