| Uc Regents Ucla Department Of Med Prof Group | |
|
2428 Santa Monica Blvd Suite 200,404 Santa Monica CA 90404-2045 | |
| (310) 998-5658 | |
| Not Available |
| Full Name | Uc Regents Ucla Department Of Med Prof Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2428 Santa Monica Blvd, Santa Monica, California |
| Authorized Official Name and Position | Robert 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 Med Prof Group Po Box 24 Dd5 West Wood Station Los Angeles CA 90024 Ph: (310) 301-8708 | Uc Regents Ucla Department Of Med Prof Group 2428 Santa Monica Blvd Suite 200,404 Santa Monica CA 90404-2045 Ph: (310) 998-5658 |
| NPI Number | 1952350787 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952350787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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