# LAC-USC-MED-CTR

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

## Provider details

- **NPI number:** 1427284082
- **Authorized official:** MRS. CHRISTINE DINUZZO PHYSICIAN ASSISTANT (SUPERVISOR PA)
- **Authorized official phone:** 13234096715

## Contact information

- **Practice address:** 1240 N MISSION RD \# 919, LOS ANGELES, CA 90033-1019
- **Practice address phone:** (323) 409-6715
- **Mailing address:** 1240 N. MISSION RD, \#919 DEM, LOS ANGELES, CA 90033
- **Mailing address phone:** (132) 340-9761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | PA14057 | CA | Yes |

## Other

- **Enumeration date:** 06/09/2009
- **Last updated:** 06/09/2009