Organization
LAC-USC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON BEN-ARI M.D. (PROGRAM DIRECTOR)
(323) 226-7556
Entity
Organization
Contact information
Practice address
1200 N. STATE ST., IRD 620,, LAC -USC MED CENTER,, LOS ANGELES, CA 90033
(323) 226-7556
(323) 226-2657
Mailing address
1200 N. STATE ST., IRD 620,, LAC -USC MED CENTER, LOS ANGELES, CA 90033
(323) 226-7556
(323) 226-2657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261Q00000X
Clinic/Center
A116505
CA
281P00000X
Chronic Disease Hospital
A116505
CA
282N00000X
General Acute Care Hospital
Primary
A116505
CA
302R00000X
Health Maintenance Organization
A116505
CA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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