# UNIVERSITY OF SOUTHERN CALIFORNIA

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

## Provider details

- **NPI number:** 1558819391
- **Authorized official:** MIN JANICE LU MD (CLINICAL PROFESSOR)
- **Authorized official phone:** (323) 865-3962

## Contact information

- **Practice address:** 1441 EASTLAKE AVENUE, SUITE 3440, LOS ANGELES, CA 90033-4972
- **Practice address phone:** (323) 865-3962
- **Practice address fax:** (323) 865-0061
- **Mailing address:** 1441 EASTLAKE AVENUE, SUITE 3440, LOS ANGELES, CA 90033-4972
- **Mailing address phone:** (323) 865-3962
- **Mailing address fax:** (323) 865-0061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | C130396 | CA | Yes |

## Other

- **Enumeration date:** 09/21/2016
- **Last updated:** 09/21/2016