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UNIVERSITY OF SOUTHERN CALIFORNIA NPI 1497169759


NPI Information

NPI: 1497169759
Provider Name: UNIVERSITY OF SOUTHERN CALIFORNIA

Doing Business As: HERMAN OSTROW SCHOOL OF DENTISTRY MOBILE CLINIC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1149 S HILL ST
SUITE H550
LOS ANGELES, CA
ZIP 90015
Phone: (213) 740-7405
Get Directions

UNIVERSITY OF SOUTHERN CALIFORNIA is a general practice dentist in Los Angeles, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. UNIVERSITY OF SOUTHERN CALIFORNIA NPI is 1497169759. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Herman Ostrow School Of Dentistry Mobile Clinic.

The provider's business location address is:

1149 S HILL ST
SUITE H550
LOS ANGELES, CA
ZIP 90015-212
Phone: (213) 740-7405

The provider's authorized official is Charlene Flowers .
The authorized official title is Director Of Clinical Finance and has the following contact phone number (213) 740-7405.

The enumeration date for this NPI number is 6/16/2014 and was last updated on 10/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD53653CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U90595MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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