# KECK MEDICAL CENTER

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1497106843
- **Authorized official:** STEVEN CARLSON MD (CLINICAL INSTRUCTOR)
- **Authorized official phone:** (805) 458-0306

## Contact information

- **Practice address:** 1510 SAN PABLO ST, SUITE 322, LOS ANGELES, CA 90033-5320
- **Practice address phone:** (323) 442-7419
- **Mailing address:** 1510 SAN PABLO ST, SUITE 322, LOS ANGELES, CA 90033-5320
- **Mailing address phone:** (323) 442-7419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A109957 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2016
- **Last updated:** 06/27/2016