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1427284082 NPI number — LAC-USC-MED-CTR

NPI Number: 1427284082
Health Care Provider/Practitioner: LAC-USC-MED-CTR

Information about “1427284082” NPI (LAC-USC-MED-CTR) exists in 1427284082 in HTML format HTML  |  1427284082 in plain Text format TXT  |  1427284082 in PDF (Portable Document Format) PDF  |  1427284082 in an XML format XML  formats.

NPI Number : 1427284082 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1427284082",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LAC-USC-MED-CTR",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1240 N. MISSION RD",
    "SecondLineMailingAddress": "#919 DEM",
    "MailingAddressCityName": "LOS ANGELES",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90033",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "132-340-9761",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1240 N MISSION RD # 919",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90033-1019",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "323-409-6715",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2009",
    "LastUpdateDate": "06/09/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DINUZZO",
    "AuthorizedOfficialFirstName": "CHRISTINE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SUPERVISOR PA",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHYSICIAN ASSISTANT",
    "AuthorizedOfficialTelephoneNumber": "13234096715",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "282N00000X",
        "TaxonomyName": "General Acute Care Hospital",
        "LicenseNumber": "PA14057",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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