# LAC-USC MEDICAL CENTER

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

## Provider details

- **NPI number:** 1972854214
- **Authorized official:** DR. JAN SHOEMBERGER MD (RESIDENCY DIRECTOR)
- **Authorized official phone:** (323) 226-2828

## Contact information

- **Practice address:** 1200 N STATE ST, ROOM 1060H, LOS ANGELES, CA 90033-1029
- **Practice address phone:** (323) 226-2828
- **Mailing address:** 1200 N STATE ST, ROOM 1060H, LOS ANGELES, CA 90033-1029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A122288 | CA | Yes |

## Other

- **Enumeration date:** 09/26/2012
- **Last updated:** 09/26/2012