| Southland Neurologic Associates Of Orange County Inc | |
|
3747 Worsham Avenue #100 Long Beach CA 90808-1774 | |
| (562) 430-4513 | |
| (562) 430-7718 |
| Full Name | Southland Neurologic Associates Of Orange County Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3747 Worsham Avenue, Long Beach, California |
| Authorized Official Name and Position | Alan H Cohen (CEO) |
| Authorized Official Contact | 5624304513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southland Neurologic Associates Of Orange County Inc 3747 Worsham Avenue #100 Long Beach CA 90808-1774 Ph: (562) 430-4513 | Southland Neurologic Associates Of Orange County Inc 3747 Worsham Avenue #100 Long Beach CA 90808-1774 Ph: (562) 430-4513 |
| NPI Number | 1265486757 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 11/07/2014 |
| Medicare PECOS PAC ID | 9133197155 |
|---|---|
| Medicare Enrollment ID | O20040917000919 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265486757 | NPI | - | NPPES |
| Provider Name | Omid Omidvar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184678583 PECOS PAC ID: 4587691654 Enrollment ID: I20050720000486 |
| Provider Name | Nirav S Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881631539 PECOS PAC ID: 1557378783 Enrollment ID: I20060314000289 |
| Provider Name | Alan H Cohen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902843659 PECOS PAC ID: 0941209811 Enrollment ID: I20090204000534 |
| Provider Name | Michael L Thompson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689820433 PECOS PAC ID: 9931241882 Enrollment ID: I20100115000272 |
| Provider Name | George C Wang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124344767 PECOS PAC ID: 6507180924 Enrollment ID: I20150113001419 |
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