MEDICARE: UNIVERSITY OF SOUTHERN CALIFORNIA

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1679422422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF SOUTHERN CALIFORNIA

Provider Business Mailing Address
First Line	:	3300 W SLAUSON AVE STE 3232
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-2563
Country	:	US
Telephone Number	:	213-740-2444
Fax Number	:

Provider Business Practice Location Address
First Line	:	3300 W SLAUSON AVE STE 3232
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90043-2563
Country	:	US
Telephone Number	:	213-740-2444
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	RAFFI SVADJIAN
Credential	:
Telephone Number	:	818-632-0505

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “UNIVERSITY OF SOUTHERN CALIFORNIA ” Practice Location

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