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General NPI Number Information
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NPI Number | 1568226801
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Entity Type | Organization
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Legal Business Name | USC CARE MEDICAL GROUP, INC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1812 VERDUGO BLVD STE 300
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City | GLENDALE
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State | CA
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Zip | 91208-1407
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Country | US
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Telephone | 818-949-7380
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31309
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City | LOS ANGELES
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State | CA
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Zip | 90031-0309
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Country | US
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Telephone | 818-658-5920
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | JEREMY CHURCH
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Credential |
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Telephone | 323-442-8747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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