1790160273 NPI number — UNIVERSITY OF SOUTHERN CALIFORNIA

Table of content: (NPI 1790160273)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790160273 NPI number — UNIVERSITY OF SOUTHERN CALIFORNIA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSITY OF SOUTHERN CALIFORNIA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790160273
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 S FREMONT AVE
Provider Second Line Business Mailing Address:
SUITE 10150
Provider Business Mailing Address City Name:
ALHAMBRA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91803-8800
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
855-885-2600
Provider Business Mailing Address Fax Number:
626-457-4195

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 S FREMONT AVE
Provider Second Line Business Practice Location Address:
SUITE 10150
Provider Business Practice Location Address City Name:
ALHAMBRA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91803-8800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-885-2600
Provider Business Practice Location Address Fax Number:
626-457-4195
Provider Enumeration Date:
07/24/2015

Additional Information

Authorized Official

Authorized Official Last Name:
JACKIEWICZ
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
SVP & CEO, KECK MEDICINE OF USC
Authorized Official Telephone Number:
855-885-2600

Provider Taxonomy Codes

  • Taxonomy code: 3336C0003X , with the licence number:  53460 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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