# LAC USC MEDICAL CENTER

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

## Provider details

- **NPI number:** 1932529880
- **Authorized official:** LOURDES RODRIGUEZ (PROGRAM COORDINATOR)
- **Authorized official phone:** (323) 409-7148

## Contact information

- **Practice address:** 1200 N STATE ST, ROOM CT A7E, LOS ANGELES, CA 90033-1029
- **Practice address phone:** (323) 409-6931
- **Mailing address:** 2572 NIXON WAY, FULLERTON, CA 92835-2279
- **Mailing address phone:** (714) 906-8662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 04/18/2014
- **Last updated:** 04/18/2014