Organization Active NPI

Los Angeles County Hospital of University of Sourthern California (Lac

  • Emergency Medicine Physician
  • La Crescenta, CA
National Provider Identifier
1912372475
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
139573 Issued in CA
Legal business name
LOS ANGELES COUNTY HOSPITAL OF UNIVERSITY OF SOURTHERN CALIFORNIA (LAC
Practice address
4350 Lowell Ave
La Crescenta, CA 91214-2363
Phone
(616) 560-4326
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Susan Arnwine
Title
Residency Secretary
Phone
(323) 226-6937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 139573 CA Primary

Addresses

Primary practice location

4350 Lowell Ave
La Crescenta, CA 91214-2363

Mailing address

4350 Lowell Ave
La Crescenta, CA 91214-2363
Phone (616) 560-4326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1912372475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 LOWELL AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142363",
            "telephone_number": "616-560-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 LOWELL AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142363",
            "telephone_number": "616-560-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES COUNTY HOSPITAL OF UNIVERSITY OF SOURTHERN CALIFORNIA (LAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "ARNWINE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "RESIDENCY SECRETARY",
        "authorized_official_telephone_number": "323-226-6937"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "139573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescenta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.