Healthcare Provider Details

I. General information

NPI: 1164410593
Provider Name (Legal Business Name): USC ARCADIA HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 03/13/2023
Certification Date: 03/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W HUNTINGTON DR
ARCADIA CA
91007-3402
US

IV. Provider business mailing address

300 W HUNTINGTON DR
ARCADIA CA
91007-3402
US

V. Phone/Fax

Practice location:
  • Phone: 626-898-8000
  • Fax: 626-898-8890
Mailing address:
  • Phone: 626-898-8000
  • Fax: 626-898-8890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number930000103
License Number StateCA

VIII. Authorized Official

Name: IKENNA MMEJE
Title or Position: PRESIDENT, CEO
Credential:
Phone: 626-574-3600