SOUTHLAND NEUROLOGIC ASSOCIATES OF ORANGE COUNTY INC (NPI# 1265486757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265486757 |
| Entity Type | Organization |
| Organization Name | SOUTHLAND NEUROLOGIC ASSOCIATES OF ORANGE COUNTY INC |
| Practice Address |
3747 Worsham Avenue #100 Long Beach CA 90808-1774 |
| Practice Telephone | 5624304513 |
| Practice Fax Number | 5624307718 |
| Mailing Telephone | 5624304513 |
| Mailing Fax Number | 5624307718 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2014-11-07 |
| Authorized Official Name | DR. ALAN H COHEN (CEO) |
| Authorized Official Telephone | 5624304513 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
G20309 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
3747 WORSHAM AVENUE #100 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808-1774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528498409 | Southland Neurologic Institute A Medical Corporation | Psychiatry & Neurology | 3747 Worsham Avenue, #100, Long Beach, CA 90808-1774 | 2013-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| Find all providers in zip 90808 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548551112 | Saheil Samih Aboutalib | Psychiatry & Neurology | 1045 Atlantic Ave Ste 719, Long Beach, CA 90813-3412 | 2011-04-29 |
| 1356630370 | Parissa Vassef | Psychiatry & Neurology | 701 E 28th St Ste 319, Long Beach, CA 90806-2783 | 2011-03-30 |
| 1609101211 | Mahsa Matloobi | Psychiatry & Neurology | 3747 Worsham Ave Ste 100, Long Beach, CA 90808-1734 | 2009-10-15 |
| 1528498409 | Southland Neurologic Institute A Medical Corporation | Psychiatry & Neurology | 3747 Worsham Avenue, #100, Long Beach, CA 90808-1774 | 2013-11-14 |
| 1124344767 | George C Wang | Psychiatry & Neurology | 3747 Worsham Ave Ste 100, Long Beach, CA 90808-1734 | 2010-04-07 |
| 1972834489 | Swh Naqvi Md PC | Psychiatry & Neurology | 267 Lincoln Blvd, Long Beach, NY 11561-3637 | 2010-01-22 |
| 1225206881 | Haeryong Oh | Psychiatry & Neurology | 2925 Palo Verde Ave, Long Beach, CA 90815-1552 | 2008-02-18 |
| 1821184854 | Selina Parveen | Psychiatry & Neurology | 5901 E 7th St, Long Beach, CA 90822-5201 | 2006-10-05 |
| 1629160213 | Marian Victoria Sowa | Psychiatry & Neurology | 5901 E. 7th St., Long Beach, CA 90822 | 2006-09-29 |
| 1780796425 | Paul Andre Gutierrez | Psychiatry & Neurology | 5901 E 7th St, Va Long Beach Hcs Sci/d Hcg 07/128, Long Beach, CA 90822-5201 | 2006-08-31 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
Please comment or provide details below to improve the information on SOUTHLAND NEUROLOGIC ASSOCIATES OF ORANGE COUNTY INC.
| 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.