USC CARE MEDICAL GROUP, INC. (NPI# 1790962165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790962165 |
Entity Type | Organization |
Organization Name | USC CARE MEDICAL GROUP, INC. |
Other Organization Name | USC PSYCHIATRIC URGENT CARE CENTER |
Practice Address |
1100 N State Street A1d Los Angeles CA 90033 |
Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
Practice Telephone | 3234426018 |
Practice Fax Number | 3234426001 |
Mailing Telephone | 6264575801 |
Mailing Fax Number | 6264575811 |
Enumeration Date | 2008-01-28 |
Last Update Date | 2008-10-15 |
Authorized Official Name | MS. MELODY CHUN (SECRATERY AND TRESURER) |
Authorized Official Telephone | 6264574145 |
Is Organization Subpart | Y |
Parent Organization Name | USC CARE MEDICAL GROUP, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0100430 | 05 |
Other Name | Type Code |
---|---|
USC PSYCHIATRIC URGENT CARE CENTER | Doing Business As Name - Organization |
Street Address |
1100 N STATE STREET A1D |
City | LOS ANGELES |
State | CA |
Zip Code | 90033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770006538 | Debra Ann Wallace | Surgery | 1100 N State Street, Clinic Tower A6a231a, Los Angeles, CA 90033 | 2017-07-24 |
1083136469 | Jane S. Kim | Registered Nurse | 1100 N State Street, Ct A4a, Los Angeles, CA 90033 | 2017-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
Find all providers in zip 90033 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780291047 | Ultra Urgent Care | Clinic/Center | 2875 W 7th St, Los Angeles, CA 90005-3907 | 2020-09-30 |
1912402181 | Treat Medical Inc | Clinic/Center | 2110 W Sunset Blvd Ste M, Los Angeles, CA 90026-3125 | 2018-03-28 |
1740655208 | Downtown Urgent Care | Clinic/Center | 269 S San Pedro St, Los Angeles, CA 90012-3808 | 2015-12-09 |
1548631369 | Koreatown Urgent Care Center | Clinic/Center | 505 S Virgil Ave Ste 101, Los Angeles, CA 90020-1407 | 2015-10-20 |
1023490216 | Fannies Daughters Medical PC | Clinic/Center | 3650 W Martin Luther King Jr Blvd, 185, Los Angeles, CA 90008-1700 | 2015-06-24 |
1710368675 | Baldwin Hills Crenshaw Urgent Care | Clinic/Center | 3650 W Martin Luther King Jr Blvd Ste 185, Los Angeles, CA 90008-1799 | 2015-06-16 |
1962882266 | Wr Balboa Urgent Care Medicine | Clinic/Center | 937 S Alvarado St, 1d, Los Angeles, CA 90006-3067 | 2015-06-02 |
1356767867 | Hollywood Urgent Care | Clinic/Center | 5717 Melrose Ave, Los Angeles, CA 90038-3807 | 2014-03-07 |
1750573622 | American Current Care of California, A Medical Corporation | Clinic/Center | 6033 West Century Blvd, Suite 200, Los Angeles, CA 90045 | 2007-08-15 |
1174691042 | David Bruce Landers | Clinic/Center | 3364 E Slauson Ave, Technimed, Los Angeles, CA 90058-3915 | 2006-11-30 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90033 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.