MEDICARE: KECK MEDICINE OF USC SURGERY CENTER, PASADENA - LLC

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	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1922828284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KECK MEDICINE OF USC SURGERY CENTER, PASADENA - LLC

Provider Business Mailing Address
First Line	:	590 S FAIR OAKS AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2614
Country	:	US
Telephone Number	:	323-442-8747
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 S FAIR OAKS AVE
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-2614
Country	:	US
Telephone Number	:	323-442-8747
Fax Number	:

Authorized Official
Title or Position	:	CFO/USC CARE MEDICAL GROUP, INC.
Name	:	JEREMY CHURCH
Credential	:
Telephone Number	:	323-442-8747

Provider Enumeration Date	:	10/11/2024
Last Update Date	:	05/16/2025

Similar Medicare Providers

1316617202 — ALEJANDRO ALVARADO
Practice Location Address:

590 S FAIR OAKS AVE STE 110
PASADENA, CA
91105-2614

Practice Phone: 818-369-7620
Practice Fax:

1174413223 — PATRICIA BURSON DPT
Practice Location Address:

590 S FAIR OAKS AVE STE 110
PASADENA, CA
91105-2614

Practice Phone: 818-369-7620
Practice Fax: 818-369-7621

1285464859 — ADRIANA ARDILA PT, DPT
Practice Location Address:

590 S FAIR OAKS AVE # 110
PASADENA, CA
91105-2614

Practice Phone: 818-369-7620
Practice Fax:

1669292405 — KECK MEDICINE OF USC IMAGING CENTERS, LLC
Practice Location Address:

590 S FAIR OAKS AVE STE 143
PASADENA, CA
91105-2614

Practice Phone: 626-517-8676
Practice Fax: 626-517-8677

1427937390 — USC CARE MEDICAL GROUP, INC
Practice Location Address:

590 S FAIR OAKS AVE STE 307
PASADENA, CA
91105-2614

Practice Phone: 626-568-1622
Practice Fax:

1871465864 — PRESTON CHUN-SUM CHAU PT, DPT
Practice Location Address:

590 S FAIR OAKS AVE # 110
PASADENA, CA
91105-2614

Practice Phone: 818-369-7620
Practice Fax:

Directions to “KECK MEDICINE OF USC SURGERY CENTER, PASADENA - LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.