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Search › California › 101YM0800X

Donnell Southall

NPI 1922453380 · on the registry since 2016 · sole proprietor

Practice

Address
3125 Myers St
Riverside, CA 92503
Phone
(951) 358-4840
Organisation at this address
County Of Riverside
County Of Riverside
County Of Riverside
County Of Riverside
County Of Riverside
Inferred from a shared address, not stated in the registry.
Clinicians at this address
154

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
1041S0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California