Organization
LAC-USC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUBY CASTELLANOS M.D. (RESIDENT PHYSICIAN)
(310) 710-8353
Entity
Organization
Contact information
Practice address
1100 N STATE ST, LOS ANGELES, CA 90033-5000
(323) 409-7748
Mailing address
1100 N STATE ST, LOS ANGELES, CA 90033-5000
(310) 710-8353
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A113742
CA
282NC0060X
Critical Access Hospital
A113742
CA
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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