| Uscan Anesthesiology Medical Group, Inc. | |
|
1520 San Pablo St Suite 3451 Los Angeles CA 90033-5310 | |
| (323) 442-7400 | |
| (323) 442-7411 |
| Full Name | Uscan Anesthesiology Medical Group, Inc. |
|---|---|
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1520 San Pablo St, Los Angeles, California |
| Authorized Official Name and Position | Philip D. Lumb (C.E.O.) |
| Authorized Official Contact | 3234427400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uscan Anesthesiology Medical Group, Inc. 1520 San Pablo St Suite 3451 Los Angeles CA 90033-5310 Ph: (323) 442-7400 | Uscan Anesthesiology Medical Group, Inc. 1520 San Pablo St Suite 3451 Los Angeles CA 90033-5310 Ph: (323) 442-7400 |
| NPI Number | 1740227123 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740227123 | NPI | - | NPPES |
| ZZZ39324Z | Other | CA | BLUE SHIELD |
| GR0045960 | Other | CA | CALOPTIMA |
| GR0045960 | Medicaid | CA |
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