Organization
LAC-USC MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN SHOEMBERGER MD (RESIDENCY DIRECTOR)
(323) 226-2828
Entity
Organization
Contact information
Practice address
1200 N STATE ST, ROOM 1060H, LOS ANGELES, CA 90033-1029
(323) 226-2828
Mailing address
1200 N STATE ST, ROOM 1060H, LOS ANGELES, CA 90033-1029
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A122288
CA
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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