Organization
USC HEAD & NECK GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL UDEN (PRACTICE PLAN ADMINISTRATOR)
(323) 442-5827
Entity
Organization
Contact information
Practice address
1520 SAN PABLO ST, SUITE 4600, LOS ANGELES, CA 90033-5310
(323) 442-5790
(323) 442-5820
Mailing address
1520 SAN PABLO ST, SUITE 4600, LOS ANGELES, CA 90033-5310
(323) 442-5790
(323) 442-5820
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056450
—
CA
Enumeration date
08/09/2006
Last updated
08/22/2020
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