Organization
LOS ANGELES COUNTY UNIVERSITY OF SOUTHERN CALIFORNIA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA HUTTAYASOMBOON N.P. (NURSE PRACTITIONER)
(626) 319-7554
Entity
Organization
Contact information
Practice address
1100 N STATE ST, CLINIC TOWER, A6A231-A, LOS ANGELES, CA 90033-5000
(323) 409-2345
Mailing address
1100 N STATE ST, CLINIC TOWER, A6A231-A, LOS ANGELES, CA 90033-5000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
21685
CA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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