| Uc Regents Ucla Dmpg Brentwood | |
|
11980 San Vicente Blvd Suite 102 Los Angeles CA 90049-5012 | |
| (310) 208-7777 | |
| Not Available |
| Full Name | Uc Regents Ucla Dmpg Brentwood |
|---|---|
| Speciality | Pediatrics |
| Location | 11980 San Vicente Blvd, Los Angeles, 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 Dmpg Brentwood Po Box 24dd5 Westwood Station Los Angeles CA 90024-0001 Ph: (310) 301-8708 | Uc Regents Ucla Dmpg Brentwood 11980 San Vicente Blvd Suite 102 Los Angeles CA 90049-5012 Ph: (310) 208-7777 |
| NPI Number | 1316905326 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316905326 | NPI | - | NPPES |
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