# LAC-USC MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073839429
- **Authorized official:** MR. KARAPET GUYUMDZHYAN (CRNA)
- **Authorized official phone:** (818) 252-7242

## Contact information

- **Practice address:** 2829 S GRAND AVE, LOS ANGELES, CA 90007-3304
- **Practice address phone:** (213) 744-3945
- **Mailing address:** 8066 SHADYGLADE AVE, NORTH HOLLYWOOD, CA 91605-1329
- **Mailing address fax:** (818) 768-7372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 3907 | CA | Yes |
| 282N00000X | General Acute Care Hospital | 560616 | CA | — |

## Other

- **Enumeration date:** 04/09/2010
- **Last updated:** 04/21/2010
