University Of Southern California

Specialty details in registry · Los Angeles, CA

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At a glance

1441 Eastlake Ave, Los Angeles, CA 90089-0112

NPPES record updated Jan 4, 2010. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1441 Eastlake Ave # 2407
Los Angeles, CA 90089-0112
Professional details: NPI, taxonomy & registry record
NPI1154651784
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
333600000X
Enumeration date
Jan 4, 2010
Record updated
Jan 4, 2010
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

333600000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1441 Eastlake Ave
# 2407
Los Angeles, CA 90089-0112
Phone
(323) 865-3000
Fax
(323) 865-3868
Mailing address
1441 EASTLAKE AVE
# 2407
LOS ANGELES, CA 900890112
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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