Organization
LAC USC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES RODRIGUEZ (PROGRAM COORDINATOR)
(323) 409-7148
Entity
Organization
Contact information
Practice address
1200 N STATE ST, ROOM CT A7E, LOS ANGELES, CA 90033-1029
(323) 409-6931
Mailing address
2572 NIXON WAY, FULLERTON, CA 92835-2279
(714) 906-8662
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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