Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lac-Usc

Organization Internal Medicine Physician · NPI 1780974790

Lac-Usc is an Internal Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
6

Practice location Address checks out

1200 N State St Ird 620 Lac -Usc Med Ctr
Los Angeles, CA 90033
Phone: (323) 226-7556
Fax: (323) 226-2657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence A116505 (CA)
Internal Medicine Physician Taxonomy 207R00000X
Voluntary or Charitable Agency Taxonomy 251V00000X
Clinic/Center Taxonomy 261Q00000X · Licence A116505 (CA)
Chronic Disease Hospital Taxonomy 281P00000X · Licence A116505 (CA)
Health Maintenance Organization Taxonomy 302R00000X · Licence A116505 (CA)

Record details

NPI number1780974790
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Ben-Ari — Program Director · (323) 226-7556
NPI enumeratedApril 11, 2011
Last updated in NPPESApril 11, 2011
Mailing address1200 N. State St., Ird 620, Lac -Usc Med Center, Los Angeles, CA 90033

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