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Organization
USC FAMILY MEDICINE INC.
Active
Organization
USC FAMILY MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT WHITE M.D. (MEDICAL DIRECTOR)
(323) 442-5858
Entity
Organization
Contact information
Practice address
1510 SAN PABLO ST, LOS ANGELES, CA 90033-5320
(323) 442-5900
(323) 442-5714
Mailing address
1000 S FREMONT AVE, ALHAMBRA, CA 91803-8800
(626) 359-8300
(626) 359-7900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0057010
—
CA
05
—
GR0057011
—
CA
05
—
GR0057012
—
CA
Enumeration date
06/18/2007
Last updated
06/03/2008
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