Organization
USC UNIVERSITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK A CARLSTON NP (NURSE PRACTITIONER)
(323) 442-5100
Entity
Organization
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 442-5100
Mailing address
1027 N EDINBURGH AVE APT 6, WEST HOLLYWOOD, CA 90046-6023
(323) 560-5773
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
NP20259
CA
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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