Organization
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Active
Parent organization
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Other names
LAC-USC Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
Authorized official
MR. MARK CORBET (INTERIM CHIEF FINANCIAL OFFICER)
(323) 226-2400
Entity
Organization
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-2622
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 226-2622
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
60000130
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSC30373W
CENTRAL COAST ALLIANCE IP
CA
01
—
HSW30373F
CALOPTIMA IP
CA
01
—
ZZW60373
CENTRAL COAST ALLIANCE OP
CA
01
—
ZZW60373F
CAL0PTIMA OP
CA
01
—
ZZZJ1901Z
BLUE SHIELD
CA
Enumeration date
12/29/2006
Last updated
03/23/2012
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