Organization
LAC USC HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRECK NICHOLS (DOCTOR)
(323) 226-3688
Entity
Organization
Contact information
Practice address
2020 ZONAL AVE, ROOM 112, LOS ANGELES, CA 90089-0121
(323) 226-3688
Mailing address
2020 ZONAL AVE, ROOM 112, LOS ANGELES, CA 90089-0121
(323) 226-3688
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A119918
CA
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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