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USC CARE MEDICAL GROUP INC NPI 1902846306


NPI Information

NPI: 1902846306
Provider Name: USC CARE MEDICAL GROUP, INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1520 SAN PABLO ST
LOS ANGELES, CA
ZIP 90033
Phone: (323) 442-5955
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USC CARE MEDICAL GROUP, INC is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee USC CARE MEDICAL GROUP, INC NPI is 1902846306. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1520 SAN PABLO ST
LOS ANGELES, CA
ZIP 90033-310
Phone: (323) 442-5955
Fax: (323) 442-5953

The provider's authorized official is Jeremy Church .
The authorized official title is Cfo and has the following contact phone number (323) 442-8747.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 2/27/2023.


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
1208600000XSurgeryNANo
2207L00000XAnesthesiologyNANo
3207N00000XDermatologyNANo
4207Q00000XFamily MedicineNANo
5207R00000XInternal MedicineNANo
6207T00000XNeurological SurgeryNANo
7207V00000XObstetrics & GynecologyNANo
8207W00000XOphthalmologyNANo
9207X00000XOrthopaedic SurgeryNANo
10207Y00000XOtolaryngologyNANo
11207ZP0102XPathologyAnatomic Pathology & Clinical PathologyNANo
122084P0800XPsychiatry & NeurologyPsychiatryNANo
132085R0202XRadiologyDiagnostic RadiologyNo
14208800000XUrologyNANo
15208D00000XGeneral PracticeNAYes

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
1GR0100430MEDICAIDCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.