Organization
USC CARE MEDICAL NON-CONTRACTED LLC
Active
Parent organization
USC CARE MEDICAL GROUP, INC.
Other names
USC CARE NEPHROLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
USC CARE MEDICAL GROUP, INC.
Authorized official
JEREMY CHURCH (CHIEF FINANCIAL OFFICER, USC CARE)
(323) 442-8747
Entity
Organization
Contact information
Practice address
1520 SAN PABLO ST, LOS ANGELES, CA 90033-5310
(323) 442-5100
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(626) 457-4145
(626) 457-5811
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
05/01/2023
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