# USC CARE MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1477314284
- **Authorized official:** JEREMY CHURCH (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (323) 442-8747

## Contact information

- **Practice address:** 2911 N TENAYA WAY STE 106, LAS VEGAS, NV 89128-0495
- **Practice address phone:** (626) 457-6601
- **Mailing address:** PO BOX 31309, LOS ANGELES, CA 90031-0309
- **Mailing address phone:** (626) 457-4145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204F00000X | Transplant Surgery Physician | — | NULL | — |
| 204F00000X | Transplant Surgery Physician | — | — | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | — | NULL | — |
| 207RA0001X | Advanced Heart Failure and Transplant Cardiology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207RT0003X | Transplant Hepatology Physician | — | NULL | — |
| 207RT0003X | Transplant Hepatology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 01/18/2024
- **Last updated:** 01/18/2024