# USCAN ANESTHESIOLOGY MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1740227123
- **Authorized official:** DR. PHILIP D. LUMB M.D. (C.E.O.)
- **Authorized official phone:** (323) 442-7400

## Contact information

- **Practice address:** 1520 SAN PABLO ST, SUITE 3451, LOS ANGELES, CA 90033-5310
- **Practice address phone:** (323) 442-7400
- **Practice address fax:** (323) 442-7411
- **Mailing address:** 1520 SAN PABLO ST, SUITE 3451, LOS ANGELES, CA 90033-5310
- **Mailing address phone:** (323) 442-7400
- **Mailing address fax:** (323) 442-7411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 09/11/2025