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Organization
LAC-USC
Active
Organization
LAC-USC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE ARAGONEZ (ADMINITSTRATIVE SERVICE MANAGER)
(303) 869-8242
Entity
Organization
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-7556
Mailing address
3271 S SEPULVEDA BLVD, 302, LOS ANGELES, CA 90034-5221
(720) 341-3008
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
NULL
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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