Provider Demographics
NPI:1386685568
Name:USC NEUROLOGISTS, INC.
Entity Type:Organization
Organization Name:USC NEUROLOGISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHUI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-442-7679
Mailing Address - Street 1:1520 SAN PABLO ST
Mailing Address - Street 2:SUITE 3000
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-4606
Mailing Address - Country:US
Mailing Address - Phone:323-442-5710
Mailing Address - Fax:323-442-5736
Practice Address - Street 1:1520 SAN PABLO ST
Practice Address - Street 2:SUITE 3000
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-5310
Practice Address - Country:US
Practice Address - Phone:323-442-5710
Practice Address - Fax:323-442-5736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0021782Medicaid
CAHW11643Medicare ID - Type UnspecifiedMEDICARE