| Ucla Family Medicine Residency Program | |
|
1920 Colorado Ave 2nd Floor Santa Monica CA 90404 | |
| (310) 319-4700 | |
| Not Available |
| Full Name | Ucla Family Medicine Residency Program |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1920 Colorado Ave, Santa Monica, California |
| Authorized Official Name and Position | Habakuk Michel (RESIDENT) |
| Authorized Official Contact | 3103194700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucla Family Medicine Residency Program 1920 Colorado Ave 2nd Floor Santa Monica CA 90404 Ph: (310) 319-4700 | Ucla Family Medicine Residency Program 1920 Colorado Ave 2nd Floor Santa Monica CA 90404 Ph: (310) 319-4700 |
| NPI Number | 1164808986 |
|---|---|
| Provider Enumeration Date | 08/04/2015 |
| Last Update Date | 08/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164808986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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