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Organization
LAC USC MEDICAL CENTER
Active
Organization
LAC USC MEDICAL CENTER
Active
Other names
General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXIMIANO VILLALPANDO NP (NURSE PRACTITIONER)
(323) 253-9743
Entity
Organization
Contact information
Practice address
1334 LOTTA DR., LOS ANGELES, CA 90063
(323) 253-9743
Mailing address
1334 LOTTA DR., LOS ANGELES, CA 90063
(323) 253-9743
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
20273
CA
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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