Organization
LAC-USC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KARAPET GUYUMDZHYAN (CRNA)
(818) 252-7242
Entity
Organization
Contact information
Practice address
2829 S GRAND AVE, LOS ANGELES, CA 90007-3304
(213) 744-3945
Mailing address
8066 SHADYGLADE AVE, NORTH HOLLYWOOD, CA 91605-1329
(818) 768-7372
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
3907
CA
282N00000X
General Acute Care Hospital
560616
CA
Other
Enumeration date
04/09/2010
Last updated
04/21/2010
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