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Organization

LAC USC MEDICAL CENTER

Active
Other names
General Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAXIMIANO VILLALPANDO NP (NURSE PRACTITIONER)
(323) 253-9743
Entity
Organization

Contact information

Practice address
1334 LOTTA DR., LOS ANGELES, CA 90063
(323) 253-9743
Mailing address
1334 LOTTA DR., LOS ANGELES, CA 90063
(323) 253-9743

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
20273
CA

Other

Enumeration date
04/01/2011
Last updated
04/01/2011
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