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Organization
LOS ANGELES COUNTY UNIVERSITY OF SOUTHERN CALIFORNIA MEDICAL CENTER
Active
Organization
LOS ANGELES COUNTY UNIVERSITY OF SOUTHERN CALIFORNIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA HUTTAYASOMBOON N.P. (NURSE PRACTITIONER)
(626) 319-7554
Entity
Organization
Contact information
Practice address
1100 N STATE ST, CLINIC TOWER, A6A231-A, LOS ANGELES, CA 90033-5000
(323) 409-2345
Mailing address
1100 N STATE ST, CLINIC TOWER, A6A231-A, LOS ANGELES, CA 90033-5000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
21685
CA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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