NPIMap

Organization Active NPI

Usc Oral and Maxillofacial Faculty Practice

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
National Provider Identifier
1285024372
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
USC ORAL AND MAXILLOFACIAL FACULTY PRACTICE
Practice address
925 W 34TH St
Suite #149
Los Angeles, CA 90089-0058
Phone
(213) 740-9648
NPI assigned
Jan 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. George Rosado
Title
Office Manager
Phone
(213) 740-9648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

925 W 34TH St
Suite #149
Los Angeles, CA 90089-0058

Mailing address

925 West 34TH Street
Suite 149
Los Angeles, CA 90089
Phone (213) 740-9648

National Provider Directory

National Provider Directory
Tax ID family
Oral Pathology Lab Usc32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

925 W 34th St
Ste 149
Los Angeles, CA 90089
Phone (213) 740-9648

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1285024372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 WEST 34TH STREET",
            "address_2": "SUITE 149",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90089",
            "telephone_number": "213-740-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 W 34TH ST",
            "address_2": "SUITE #149",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900890058",
            "telephone_number": "213-740-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC ORAL AND MAXILLOFACIAL FACULTY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "ROSADO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-740-9648",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.