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. 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 Randolph Siwabessy .
The authorized official title is Cfo and has the following contact phone number (626) 457-4051.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 12/11/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	Primary
1	207L00000X	Anesthesiology		NA	No
2	207N00000X	Dermatology		NA	No
3	207Q00000X	Family Medicine		NA	No
4	207R00000X	Internal Medicine		NA	No
5	207T00000X	Neurological Surgery		NA	No
6	207V00000X	Obstetrics & Gynecology		NA	No
7	207W00000X	Ophthalmology		NA	No
8	207X00000X	Orthopaedic Surgery		NA	No
9	207Y00000X	Otolaryngology		NA	No
10	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	NA	No
11	2084P0800X	Psychiatry & Neurology	Psychiatry	NA	No
12	208600000X	Surgery		NA	No
13	208800000X	Urology		NA	No
14	208D00000X	General Practice		NA	Yes
15	2085R0202X	Radiology	Diagnostic Radiology		No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CA385A	OTHER	CALIFORNIA	NORTHERN CALIFORNIA MEDICARE PIN
2	DD5799	OTHER	CALIFORNIA	RAILROAD MEDICARE
3	W18762	MEDICARE PIN	CALIFORNIA
4	GR0100430	MEDICAID	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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