Provider Demographics
NPI:1326009895
Name:USC NEUROSURGEONS, INC.
Entity Type:Organization
Organization Name:USC NEUROSURGEONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:RNP, MSN, ACNP-C
Authorized Official - Phone:323-442-7537
Mailing Address - Street 1:1520 SAN PABLO ST
Mailing Address - Street 2:SUITE 3800
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-5310
Mailing Address - Country:US
Mailing Address - Phone:323-442-5720
Mailing Address - Fax:323-442-7543
Practice Address - Street 1:1520 SAN PABLO ST
Practice Address - Street 2:SUITE 3800
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5310
Practice Address - Country:US
Practice Address - Phone:323-442-5720
Practice Address - Fax:323-442-7543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0062000Medicaid
CAGR0062000Medicaid