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General NPI Number Information
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NPI Number | 1689895773
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Entity Type | Organization
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Legal Business Name | LAC USC MEDICAL CENTER
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1200 N STATE ST GNH-11900
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City | LOS ANGELES
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State | CA
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Zip | 90033-1029
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Country | US
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Telephone | 323-226-7923
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Fax | 323-226-2738
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Provider Business Mailing Address
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Address Line | 1200 N STATE ST GNH-11900
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City | LOS ANGELES
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State | CA
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Zip | 90033-1029
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Country | US
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Telephone | 323-226-7923
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Fax | 323-226-2738
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Authorized Official
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Title or Position | ASSOCIATE CHAIR
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Name | DR. ALBERT NIDEN
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Credential | M.D.
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Telephone | 323-226-7923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A93115
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A85387
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A95874
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A94801
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License Number State | CA
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