Active NPI
Lac-Usc Medical Center
- Ambulatory Surgical Clinic/Center
- Los Angeles, CA
National Provider Identifier
1073839429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 3907
- Legal business name
- LAC-USC MEDICAL CENTER
- Practice address
- 2829 S Grand Ave
Los Angeles, CA 90007-3304 - Phone
- (213) 744-3945
- NPI assigned
- Apr 9, 2010
- Last updated
- Apr 21, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Karapet Guyumdzhyan
- Title
- Crna
- Phone
- (818) 252-7242
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 3907 | CA | Primary |
| General Acute Care Hospital | 282N00000X | 560616 | CA |
Addresses
Primary practice location
2829 S Grand Ave
Los Angeles, CA 90007-3304
Mailing address
8066 Shadyglade Ave
North Hollywood, CA 91605-1329
National Provider Directory
National Provider Directory- Tax ID family
- Cape Cod Anesthesia Associates
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271808000000",
"number": "1073839429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8066 SHADYGLADE AVE",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916051329",
"fax_number": "818-768-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 S GRAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073304",
"telephone_number": "213-744-3945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAC-USC MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-09",
"last_updated": "2010-04-21",
"status": "A",
"authorized_official_last_name": "GUYUMDZHYAN",
"authorized_official_first_name": "KARAPET",
"authorized_official_title_or_position": "CRNA",
"authorized_official_telephone_number": "818-252-7242",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "3907",
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "560616",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.