| Uc Regents Ucla Department Of Medicine Prof Group | |
|
1304 15th St Ste #400 Santa Monica CA 90404-1809 | |
| (310) 395-9442 | |
| Not Available |
| Full Name | Uc Regents Ucla Department Of Medicine Prof Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1304 15th St, Santa Monica, California |
| Authorized Official Name and Position | Robert K Oye (VICE CHAIR OF CLINICAL SERVICES) |
| Authorized Official Contact | 3102060644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uc Regents Ucla Department Of Medicine Prof Group Po Box 24dd5 Westwood Station Los Angeles CA 90024 Ph: (310) 301-8708 | Uc Regents Ucla Department Of Medicine Prof Group 1304 15th St Ste #400 Santa Monica CA 90404-1809 Ph: (310) 395-9442 |
| NPI Number | 1891744637 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891744637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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