SOUTHLAND OUTPATIENT RECOVERY CENTER (NPI# 1225294341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225294341 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND OUTPATIENT RECOVERY CENTER |
| Other Organization Name | SOUTHLAND OUTPATIENT SERVICES |
| Practice Address |
920 N Long Beach Blvd 1,2,& 3 Compton CA 90221-2260 |
| Mailing Address |
Po Box 17144 Long Beach CA 90807-7144 |
| Practice Telephone | 5625373396 |
| Mailing Telephone | 5628842220 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2012-11-26 |
| Authorized Official Name | MR. SUNDAY I. OKORO (CEO) |
| Authorized Official Telephone | 5628842220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
3027962 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southland Outpatient Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104149798 | Southland Outpatient Recovery Center | Clinic/Center | 8511 Compton Ave, Zebra Room A & B, Los Angeles, CA 90001-3921 | 2010-03-10 |
| Street Address |
920 N LONG BEACH BLVD 1,2,& 3 |
| City | COMPTON |
| State | CA |
| Zip Code | 90221-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821469263 | Benevolence Industries Incorporated | Clinic/Center | 920 N Long Beach Blvd, 1, Compton, CA 90221-2260 | 2015-10-12 |
| 1740606201 | Organization Reachout, Inc. | Nurse Practitioner | 920 N Long Beach Blvd, Suite 1, Compton, CA 90221-2260 | 2014-03-07 |
| 1720320393 | Evelyn Patino | Counselor | 920 N Long Beach Blvd, Compton, CA 90221-2260 | 2013-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619448313 | Yong Wung Yoo | Acupuncturist | 2787 E. Del Amo Blvd, G-1, Rancho Dominguez, CA 90221 | 2018-12-07 |
| 1962920231 | Sara Alsabbagh | Counselor | 600 Alameda Street, East, Compton, CA 90221 | 2017-09-06 |
| 1780109462 | Lisete Gomez | Social Worker | 509 E Rosecrans Avenue, Compton, CA 90221 | 2017-08-03 |
| 1821528175 | Jataja Patterson | Behavior Technician | 15531 South Gibson Avenue, Compton, CA 90221 | 2017-06-19 |
| 1316318439 | Yuin University | Health Maintenance Organization | 2007 E Compton Blvd, Compton, CA 90221 | 2015-10-15 |
| 1609245125 | Bryttani Schlater | Marriage & Family Therapist | 600 Alameda Street East, Compton, CA 90221 | 2015-09-15 |
| 1750757480 | Colleen Flores | Marriage & Family Therapist | 509 East Rosecrans Avenue, Compton, CA 90221 | 2015-08-17 |
| 1447686399 | Sarah Hamblet | Counselor | 509 E. Rosecrans Ave., Compton, CA 90221 | 2013-09-24 |
| 1558671222 | Joyce Redor Lim | Adult Companion | 1680 Tartar Lane, 22, Compton, CA 90221 | 2010-10-15 |
| 1730407099 | Natasha Ashley | Counselor | 15727 S. Atlantic Ave., A204, Compton, CA 90221 | 2010-05-12 |
| Find all providers in zip 90221 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598002230 | Compassion Care Center | Clinic/Center | 15301 S San Jose Ave, Compton, CA 90221-3131 | 2013-01-15 |
| 1811234578 | Compassion Care Center | Clinic/Center | 2606 N Central Ave, Compton, CA 90222-1640 | 2013-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366078115 | Humangood Socal | Clinic/Center | 1151 S Redwood St, Escondido, CA 92025-5614 | 2020-03-12 |
| 1477192813 | Wellness Recovery Retreat Center | Clinic/Center | 1562 Meridian Ave, San Jose, CA 95125-5319 | 2020-01-02 |
| 1548818636 | Advent Healthcare Solutions, LLC | Clinic/Center | 255 W Fallbrook Ave Ste 102, Fresno, CA 93711-6151 | 2019-08-31 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1144795261 | Divine Bliss, Inc. | Clinic/Center | 1219 Parnell Pl, Costa Mesa, CA 92626-2737 | 2018-10-04 |
| 1407346489 | True North Detox LLC | Clinic/Center | 2121 Herndon Ave Ste 102, Clovis, CA 93611-6302 | 2018-05-15 |
| 1851898811 | Sober First Recovery LLC | Clinic/Center | 3309 Clay St, Newport Beach, CA 92663-4208 | 2018-04-06 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1356860738 | Destiny Recovery Center Iop | Clinic/Center | 23041 Avenida De La Carlota Ste 280, Laguna Hills, CA 92653-1531 | 2017-09-17 |
| 1073966370 | New U Beginnings Inc | Clinic/Center | 5205 Agnes Ave, Valley Village, CA 91607-2701 | 2016-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTHLAND OUTPATIENT RECOVERY CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.