Organization Active NPI

Usc Head & Neck Group, Inc

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Los Angeles, CA
National Provider Identifier
1922018977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
Legal business name
USC HEAD & NECK GROUP, INC
Practice address
1520 San Pablo St
Suite 4600
Los Angeles, CA 90033-5310
Phone
(323) 442-5790
Fax
(323) 442-5820
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carol Uden
Title
Practice Plan Administrator
Phone
(323) 442-5827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0007X Primary

Addresses

Primary practice location

1520 San Pablo St
Suite 4600
Los Angeles, CA 90033-5310

Mailing address

1520 San Pablo St
Suite 4600
Los Angeles, CA 90033-5310
Phone (323) 442-5790

Other identifiers 1

IdentifierTypeStateIssuer
GR0056450MedicaidCA

National Provider Directory

National Provider Directory

Locations

1520 San Pablo St
Ste 4600
Los Angeles, CA 90033
Phone (323) 442-5827

1510 San Pablo St
Ste 201
Los Angeles, CA 90033
Phone (323) 447-5790

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922018977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO ST",
            "address_2": "SUITE 4600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335310",
            "telephone_number": "323-442-5790",
            "fax_number": "323-442-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 SAN PABLO ST",
            "address_2": "SUITE 4600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335310",
            "telephone_number": "323-442-5790",
            "fax_number": "323-442-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USC HEAD & NECK GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UDEN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRACTICE PLAN ADMINISTRATOR",
        "authorized_official_telephone_number": "323-442-5827"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056450",
            "state": "CA"
        }
    ],
    "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 Aug 22, 2020; 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.