Organization
USCAN ANESTHESIOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP D. LUMB M.D. (C.E.O.)
(323) 442-7400
Entity
Organization
Contact information
Practice address
1520 SAN PABLO ST, SUITE 3451, LOS ANGELES, CA 90033-5310
(323) 442-7400
(323) 442-7411
Mailing address
1520 SAN PABLO ST, SUITE 3451, LOS ANGELES, CA 90033-5310
(323) 442-7400
(323) 442-7411
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207L00000X
Anesthesiology Physician
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR0045960
CALOPTIMA
CA
05
—
GR0045960
—
CA
01
—
ZZZ39324Z
BLUE SHIELD
CA
Enumeration date
06/02/2006
Last updated
09/11/2025
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