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Organization
USC CARE MEDICAL GROUP, INC
Active
Organization
USC CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY CHURCH (CFO)
(323) 442-8747
Entity
Organization
Contact information
Practice address
1520 SAN PABLO ST, LOS ANGELES, CA 90033-5310
(323) 442-5955
(323) 442-5953
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-1309
(626) 457-4145
(626) 457-5811
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
NA
—
207N00000X
Dermatology Physician
NA
—
207Q00000X
Family Medicine Physician
NA
—
207R00000X
Internal Medicine Physician
NA
—
207T00000X
Neurological Surgery Physician
NA
—
207V00000X
Obstetrics & Gynecology Physician
NA
—
207W00000X
Ophthalmology Physician
NA
—
207X00000X
Orthopaedic Surgery Physician
NA
—
207Y00000X
Otolaryngology Physician
NA
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
NA
—
2084P0800X
Psychiatry Physician
NA
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
NA
—
208800000X
Urology Physician
NA
—
208D00000X
General Practice Physician
Primary
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100430
—
CA
Enumeration date
06/07/2006
Last updated
02/27/2023
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