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USC CARE MEDICAL GROUP INC. NPI 1790962165


NPI Information

NPI: 1790962165
Provider Name: USC CARE MEDICAL GROUP, INC.

Doing Business As: USC PSYCHIATRIC URGENT CARE CENTER

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D0676515

Address:
1100 N STATE STREET
A1D
LOS ANGELES, CA
ZIP 90033
Phone: (323) 442-6018
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USC CARE MEDICAL GROUP, INC. is an urgent care clinic center in Los Angeles, CA. USC CARE MEDICAL GROUP, INC. NPI is 1790962165. The provider is registered as an organization entity type.
The provider Is Doing Business As Usc Psychiatric Urgent Care Center.

The provider's business location address is:

1100 N STATE STREET
A1D
LOS ANGELES, CA
ZIP 90033
Phone: (323) 442-6018
Fax: (323) 442-6001

The provider's authorized official is Melody Chun .
The authorized official title is Secratery And Tresurer and has the following contact phone number (626) 457-4145.

The CLIA number assigned to this NPI record is 05D0676515 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2008 and was last updated on 10/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR0100430MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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