Active NPI
Los Angeles County University of Southern California Medical Center
- General Acute Care Hospital
- Los Angeles, CA
National Provider Identifier
1285981902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 21685
- Legal business name
- LOS ANGELES COUNTY UNIVERSITY OF SOUTHERN CALIFORNIA MEDICAL CENTER
- Practice address
- 1100 N State St
Clinic Tower, A6A231-a
Los Angeles, CA 90033-5000 - Phone
- (323) 409-2345
- NPI assigned
- Aug 13, 2012
- 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
- Mrs. Tina Huttayasomboon, N.P.
- Title
- Nurse Practitioner
- Phone
- (626) 319-7554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 21685 | CA | Primary |
Addresses
Primary practice location
1100 N State St
Clinic Tower, A6A231-a
Los Angeles, CA 90033-5000
Mailing address
1100 N State St
Clinic Tower, A6A231-a
Los Angeles, CA 90033-5000
National Provider Directory
National Provider DirectoryLocations
1100 N State St
#A6A231A
Los Angeles, CA 90033
Phone (323) 409-2345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344816000000",
"number": "1285981902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 N STATE ST",
"address_2": "CLINIC TOWER, A6A231-A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N STATE ST",
"address_2": "CLINIC TOWER, A6A231-A",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335000",
"telephone_number": "323-409-2345"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOS ANGELES COUNTY UNIVERSITY OF SOUTHERN CALIFORNIA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-13",
"last_updated": "2012-08-13",
"status": "A",
"authorized_official_last_name": "HUTTAYASOMBOON",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "626-319-7554",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "N.P."
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "CA",
"license": "21685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Los Angeles County Department of Public Health
- Los Angeles County Hospital
- Los Angeles County Mental Health
- Los Angeles County of Los Angeles-Department of Mental Health
- Los Angeles County Probation Department
- Los Angeles County University of Southern California Medical Center
- Los Angeles County Usc Hospital
- Los Angeles County Usc Medical Center
- Los Angeles County Usc Medical Center
- Los Angeles County, Sheriff'S Dept. Medical Services Bureau, Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.