# LAC-USC

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

## Provider details

- **NPI number:** 1780974790
- **Authorized official:** DR. RON BEN-ARI M.D. (PROGRAM DIRECTOR)
- **Authorized official phone:** (323) 226-7556

## Contact information

- **Practice address:** 1200 N. STATE ST., IRD 620,, LAC -USC MED CENTER,, LOS ANGELES, CA 90033
- **Practice address phone:** (323) 226-7556
- **Practice address fax:** (323) 226-2657
- **Mailing address:** 1200 N. STATE ST., IRD 620,, LAC -USC MED CENTER, LOS ANGELES, CA 90033
- **Mailing address phone:** (323) 226-7556
- **Mailing address fax:** (323) 226-2657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | A116505 | CA | — |
| 281P00000X | Chronic Disease Hospital | A116505 | CA | — |
| 282N00000X | General Acute Care Hospital | A116505 | CA | Yes |
| 302R00000X | Health Maintenance Organization | A116505 | CA | — |

## Other

- **Enumeration date:** 04/11/2011
- **Last updated:** 04/11/2011
