# USC CARE MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1902846306
- **Authorized official:** MR. JEREMY CHURCH (CFO)
- **Authorized official phone:** (323) 442-8747

## Contact information

- **Practice address:** 1520 SAN PABLO ST, LOS ANGELES, CA 90033-5310
- **Practice address phone:** (323) 442-5955
- **Practice address fax:** (323) 442-5953
- **Mailing address:** PO BOX 31309, LOS ANGELES, CA 90031-1309
- **Mailing address phone:** (626) 457-4145
- **Mailing address fax:** (626) 457-5811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | NA | — | Yes |

## Other

- **Enumeration date:** 06/07/2006
- **Last updated:** 02/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0100430 | — | CA |