# LAC-USC MEDICAL CENTER

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

## Provider details

- **NPI number:** 1578862223
- **Authorized official:** DR. RUBY CASTELLANOS M.D. (RESIDENT PHYSICIAN)
- **Authorized official phone:** (310) 710-8353

## Contact information

- **Practice address:** 1100 N STATE ST, LOS ANGELES, CA 90033-5000
- **Practice address phone:** (323) 409-7748
- **Mailing address:** 1100 N STATE ST, LOS ANGELES, CA 90033-5000
- **Mailing address phone:** (310) 710-8353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A113742 | CA | Yes |
| 282NC0060X | Critical Access Hospital | A113742 | CA | — |

## Other

- **Enumeration date:** 03/21/2011
- **Last updated:** 03/21/2011