Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
USC INTERNAL MEDICINE, INC.
Active
Organization
USC INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD CRANDALL PHD, MD (CHAIR)
(323) 226-7593
Entity
Organization
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(626) 457-5839
Mailing address
PO BOX 31218, LOS ANGELES, CA 90031-0218
(626) 457-5839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0008X
Hepatology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06E2774
CHAMPUS
CA
01
—
CE1617
RAILROAD MEDICARE
CA
01
—
GR0016910
CAL OPTIMA
CA
05
—
GR0016910
—
CA
01
—
ZZZ50018Z
BLUE SHIELD
CA
Enumeration date
05/09/2006
Last updated
04/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up