| Ucla | |
|
200 Stein Plz Los Angeles CA 90095-0001 | |
| (310) 206-7474 | |
| Not Available |
| Full Name | Ucla |
|---|---|
| Speciality | Clinic/center |
| Location | 200 Stein Plz, Los Angeles, California |
| Authorized Official Name and Position | Bartly J Mondino (DEPARTMENT CHAIR) |
| Authorized Official Contact | 3108255053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucla 200 Stein Plz Los Angeles CA 90095-0001 Ph: (310) 206-7474 | Ucla 200 Stein Plz Los Angeles CA 90095-0001 Ph: (310) 206-7474 |
| NPI Number | 1457752149 |
|---|---|
| Provider Enumeration Date | 09/12/2014 |
| Last Update Date | 09/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457752149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | F5829 (California) | Primary |
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