MEDICARE: USC CARE MEDICAL GROUP, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1427937390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	USC CARE MEDICAL GROUP, INC

Provider Business Mailing Address
First Line	:	PO BOX 31309
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90031-0309
Country	:	US
Telephone Number	:	626-568-1622
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 S FAIR OAKS AVE STE 307
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2614
Country	:	US
Telephone Number	:	626-568-1622
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	JEREMY CHURCH
Credential	:
Telephone Number	:	323-442-8747

Provider Enumeration Date	:	08/27/2025
Last Update Date	:	08/27/2025

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