Organization
USC SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC ALCORN (EXECUTIVE VICE PRESIDENT)
(323) 442-5923
Entity
Organization
Contact information
Practice address
1510 SAN PABLO ST, SUITE 514, LOS ANGELES, CA 90033-5324
(323) 442-5910
(323) 442-6798
Mailing address
1510 SAN PABLO ST, SUITE 514, LOS ANGELES, CA 90033-5324
(323) 442-5923
(323) 442-6798
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE8029
MEDICARE RR
CA
05
—
GR0056390
—
CA
Enumeration date
06/21/2006
Last updated
02/05/2008
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