# LAC USC KECK SCHOOL OF MEDICINE

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

## Provider details

- **NPI number:** 1942483037
- **Authorized official:** LUSINE TUMYAN MD (RESIDENT)
- **Authorized official phone:** (818) 919-8069

## Contact information

- **Practice address:** 1200 N STATE ST, D&T 3D321, LOS ANGELES, CA 90033-1029
- **Practice address phone:** (323) 409-7257
- **Mailing address:** 2024 ASHINGTON DR, GLENDALE, CA 91206-1101
- **Mailing address phone:** (818) 919-8069

## Taxonomy

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

## Other

- **Enumeration date:** 12/11/2007
- **Last updated:** 03/05/2009
