Southland Neurologic Institute A Medical Corporation - Medicare Mental Health Clinic in Long Beach, CA

Southland Neurologic Institute A Medical Corporation is a medicare enrolled mental health clinic (Psychiatry & Neurology - Neurology) in Long Beach, California. The current practice location for Southland Neurologic Institute A Medical Corporation is 3747 Worsham Avenue, #100, Long Beach, California. For appointments, you can reach them via phone at (562) 430-4513. The mailing address for Southland Neurologic Institute A Medical Corporation is 3747 Worsham Avenue, #100, Long Beach, California and phone number is (562) 430-4513.

Southland Neurologic Institute A Medical Corporation is licensed to practice in California (license number G20309). The clinic also participates in the medicare program and its NPI number is 1528498409. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (562) 430-4513.

Contact Information

Southland Neurologic Institute A Medical Corporation
3747 Worsham Avenue
#100
Long Beach
CA 90808-1774
(562) 430-4513
(562) 430-7718

Map and Direction


Mental Health Clinic Profile

Full NameSouthland Neurologic Institute A Medical Corporation
SpecialityPsychiatry & Neurology
Location3747 Worsham Avenue, Long Beach, California
Authorized Official Name and PositionAlan H Cohen (CEO)
Authorized Official Contact5624304513
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southland Neurologic Institute A Medical Corporation
3747 Worsham Avenue
#100
Long Beach
CA 90808-1774

Ph: (562) 430-4513
Southland Neurologic Institute A Medical Corporation
3747 Worsham Avenue
#100
Long Beach
CA 90808-1774

Ph: (562) 430-4513

NPI Details:

NPI Number1528498409
Provider Enumeration Date11/14/2013
Last Update Date11/03/2015

Medicare PECOS Information:

Medicare PECOS PAC ID0446555023
Medicare Enrollment IDO20160218001757

Medical Identifiers

Medical identifiers for Southland Neurologic Institute A Medical Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528498409NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology G20309 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southland Neurologic Institute A Medical Corporation acts as a billing entity for following providers:
Provider NameOmid Omidvar
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1184678583
PECOS PAC ID: 4587691654
Enrollment ID: I20050720000486
Provider NameNirav S Patel
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1881631539
PECOS PAC ID: 1557378783
Enrollment ID: I20060314000289
Provider NameNima Ramezan Arab
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1699705772
PECOS PAC ID: 4284635103
Enrollment ID: I20070119000375
Provider NameAlan H Cohen
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1902843659
PECOS PAC ID: 0941209811
Enrollment ID: I20090204000534
Provider NameMichael L Thompson
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1689820433
PECOS PAC ID: 9931241882
Enrollment ID: I20100115000272
Provider NameLiza N Ros
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972836484
PECOS PAC ID: 5496911315
Enrollment ID: I20120723000106
Provider NameGeorge C Wang
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1124344767
PECOS PAC ID: 6507180924
Enrollment ID: I20150113001419
Provider NameMelissa Dodson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306204698
PECOS PAC ID: 8921386277
Enrollment ID: I20161020002396
Provider NameGalina Nikolskaya
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1457620965
PECOS PAC ID: 2567748015
Enrollment ID: I20170417001952
Provider NameNeil Maluste
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1013358241
PECOS PAC ID: 2668702861
Enrollment ID: I20191002000862
Provider NameMahsa Matloobi
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1609101211
PECOS PAC ID: 7719111350
Enrollment ID: I20200609002130
Provider NameEun Hyeo Ha
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215547484
PECOS PAC ID: 4981099777
Enrollment ID: I20220314001083
Provider NameRebecca Rodgers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932875291
PECOS PAC ID: 7719369537
Enrollment ID: I20220726003101

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.