Ucla Entertainment Industry Medical Group | |
26585 Agoura Rd Ste 330 Calabasas CA 91302-1958 | |
(818) 876-1050 | |
Not Available |
Full Name | Ucla Entertainment Industry Medical Group |
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Speciality | Durable Medical Equipment & Medical Supplies |
Location | 26585 Agoura Rd Ste 330, Calabasas, California |
Authorized Official Name and Position | Katherine A Hale (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3103015311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ucla Entertainment Industry Medical Group 5767 W Century Blvd 400 Los Angeles CA 90045-5631 Ph: (310) 301-8707 | Ucla Entertainment Industry Medical Group 26585 Agoura Rd Ste 330 Calabasas CA 91302-1958 Ph: (818) 876-1050 |
NPI Number | 1952797367 |
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Provider Enumeration Date | 04/13/2015 |
Last Update Date | 09/09/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952797367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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