# LAC USC MEDICAL CENTER

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

## Provider details

- **NPI number:** 1689895773
- **Authorized official:** DR. ALBERT NIDEN M.D. (ASSOCIATE CHAIR)
- **Authorized official phone:** (323) 226-7923

## Contact information

- **Practice address:** 1200 N STATE ST, GNH-11900, LOS ANGELES, CA 90033-1029
- **Practice address phone:** (323) 226-7923
- **Practice address fax:** (323) 226-2738
- **Mailing address:** 1200 N STATE ST, GNH-11900, LOS ANGELES, CA 90033-1029
- **Mailing address phone:** (323) 226-7923
- **Mailing address fax:** (323) 226-2738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A85387 | CA | — |
| 282N00000X | General Acute Care Hospital | A93115 | CA | — |
| 282N00000X | General Acute Care Hospital | A94801 | CA | Yes |
| 282N00000X | General Acute Care Hospital | A95874 | CA | — |

## Other

- **Enumeration date:** 05/02/2007
- **Last updated:** 08/22/2020