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Organization

UNIVERSITY OF SOUTHERN CALIFORNIA

Active
Parent organization
UNIVERSITY OF SOUTHERN CALIFOR
Other names
Keck Hospital of USC
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF SOUTHERN CALIFOR
Authorized official
MR. THOMAS E JACKIEWICZ (SVP & CEO, KECK MEDICINE OF USC)
(323) 442-9775
Entity
Organization

Contact information

Practice address
1500 SAN PABLO STREET, LOS ANGELES, CA 90033-9857
(323) 442-8500
(323) 442-8727
Mailing address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-9857
(323) 442-8444
(323) 442-5257

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000459
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HSC30696G
CA
05
HSP40696G
CA
Enumeration date
12/10/2008
Last updated
02/11/2016
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