| Usc Internal Medicine, Inc. | |
|
1520 San Pablo St Suite 1000 Los Angeles CA 90033-5310 | |
| (626) 457-5839 | |
| Not Available |
| Full Name | Usc Internal Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1520 San Pablo St, Los Angeles, California |
| Authorized Official Name and Position | Edward Crandall (CHAIR) |
| Authorized Official Contact | 3232267593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Usc Internal Medicine, Inc. Po Box 31218 Los Angeles CA 90031-0218 Ph: (626) 457-5839 | Usc Internal Medicine, Inc. 1520 San Pablo St Suite 1000 Los Angeles CA 90033-5310 Ph: (626) 457-5839 |
| NPI Number | 1356390009 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356390009 | NPI | - | NPPES |
| CE1617 | Other | CA | RAILROAD MEDICARE |
| 06E2774 | Other | CA | CHAMPUS |
| GR0016910 | Other | CA | CAL OPTIMA |
| ZZZ50018Z | Other | CA | BLUE SHIELD |
| GR0016910 | Medicaid | CA |
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