National Provider Identifier Database

USC HEAD NECK GROUP INC
Plastic Surgery within the Head & Neck

An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.


Contact Information

USC HEAD & NECK GROUP, INC
1520 SAN PABLO ST
SUITE 4600
LOS ANGELES, CA90033-5310
Phone: 323-442-5790
Fax: 323-442-5820
Website:
Specialty Taxonomy Code
* Plastic Surgery within the Head & Neck 207YX0007X

* Indicates primary specialty

NPI Profile & details for USC HEAD & NECK GROUP, INC

NPI Number 1922018977
Legal business name
LBN
USC HEAD & NECK GROUP, INC
Authorized official CAROL UDEN - (PRACTICE PLAN ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 08/09/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GR0056450

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for USC HEAD & NECK GROUP, INC

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