Usc Department of Surgery

Primary specialty

Special HospitalTaxonomy code 284300000X

License

F 5615 Issued in CA

Legal business name

USC DEPARTMENT OF SURGERY

Practice address

1510 San Pablo St
Suite 514
Los Angeles, CA 90033-5320

Phone

(323) 442-9058

Fax

(323) 442-5803

NPI assigned

May 12, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A. Hagen, MD

Title

Division Chief

Phone

(323) 442-9058

Specialties & licenses 1

Addresses

Other names 1

• USC University Hospital Other name

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1669790812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 SAN PABLO ST",
            "address_2": "SUITE 514",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335320",
            "telephone_number": "323-442-9058",
            "fax_number": "323-442-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SAN PABLO ST",
            "address_2": "SUITE 514",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335320",
            "telephone_number": "323-442-9058",
            "fax_number": "323-442-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC DEPARTMENT OF SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "HAGEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIVISION CHIEF",
        "authorized_official_telephone_number": "323-442-9058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "CA",
            "license": "F 5615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "USC University Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Usc Care Medical Group, Inc (Usc Breast Cancer Analysis Laboratory)
• Usc Care Medical Group, Inc. (Usc Psychiatric Urgent Care Center)
• Usc Care Medical Non-Contracted LLC (Usc Care Nephrology)
• Usc Caruso Department, Otolaryngology-Head and Neck Surgery
• Usc Colorectal Surgeons, Inc.
• Usc Family Medicine Inc
• Usc Family Medicine Inc.
• Usc Family Medicine Inc.
• Usc Head & Neck Group, Inc
• Usc I.D.S. Pharmacy

• Special Hospital in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Special Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.