Healthcare Provider Details

I. General information

NPI: 1740227123
Provider Name (Legal Business Name): USCAN ANESTHESIOLOGY MEDICAL GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 SAN PABLO ST SUITE 3451
LOS ANGELES CA
90033-5310
US

IV. Provider business mailing address

1520 SAN PABLO ST SUITE 3451
LOS ANGELES CA
90033-5310
US

V. Phone/Fax

Practice location:
  • Phone: 323-442-7400
  • Fax: 323-442-7411
Mailing address:
  • Phone: 323-442-7400
  • Fax: 323-442-7411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILIP D. LUMB
Title or Position: C.E.O.
Credential: M.D.
Phone: 323-442-7400