# UNIVERSITY OF SOUTHERN CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** USC Verdugo Hills Hospital SNF
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104206176
- **Authorized official:** MR. THOMAS E. JACKIEWICZ (SVP & CEO)
- **Authorized official phone:** (323) 442-9775

## Contact information

- **Practice address:** 1510 SAN PABLO ST, HCC 600, LOS ANGELES, CA 90033-5320
- **Practice address phone:** (323) 442-9775
- **Practice address fax:** (323) 442-9848
- **Mailing address:** 1510 SAN PABLO ST, HCC 600, LOS ANGELES, CA 90033-5320
- **Mailing address phone:** (323) 442-9775
- **Mailing address fax:** (323) 442-9848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 06/04/2015