# LAC-USC MEDICAL CENTER

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

## Provider details

- **NPI number:** 1194034470
- **Authorized official:** DR. LEILA MARIAM YOONESSI MD (PGY-2)
- **Authorized official phone:** (310) 357-7986

## Contact information

- **Practice address:** 110 NORTH STATE STREET, LOS ANGELES, CA 90033
- **Practice address phone:** (323) 226-2622
- **Mailing address:** 1155 S GRAND AVE, APT 522, LOS ANGELES, CA 90015-2199
- **Mailing address phone:** (310) 357-7986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A114034 | CA | Yes |

## Other

- **Enumeration date:** 10/04/2010
- **Last updated:** 10/04/2010