{
"Npi": {
"NPI": "1528075439",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SOUTHLAND MEDICAL CARE,INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
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"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3550 WILSHIRE BLVD",
"SecondLineMailingAddress": "SUITE 1138",
"MailingAddressCityName": "LOS ANGELES",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "90010-2401",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "213-738-0020",
"MailingAddressFaxNumber": "213-738-0024",
"FirstLinePracticeLocationAddress": "3550 WILSHIRE BLVD",
"SecondLinePracticeLocationAddress": "SUITE 1138",
"PracticeLocationAddressCityName": "LOS ANGELES",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "90010-2401",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "213-738-0020",
"PracticeLocationAddressFaxNumber": "213-738-0024",
"EnumerationDate": "08/02/2006",
"LastUpdateDate": "10/31/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OKOCHA",
"AuthorizedOfficialFirstName": "SYLVESTER",
"AuthorizedOfficialMiddleName": "ASHIEDU",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RESPIROTORY THERAPIS",
"AuthorizedOfficialTelephoneNumber": "213-738-0020",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": "103221",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}