Organization
USC CARE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY CHURCH (CHIEF FINANCIAL OFFICER)
(323) 442-8747
Entity
Organization
Contact information
Practice address
2911 N TENAYA WAY STE 106, LAS VEGAS, NV 89128-0495
(626) 457-6601
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-4145
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RT0003X
Transplant Hepatology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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