| Univeristy Of California | |
|
325 Westwood Plz Los Angeles CA 90095-8356 | |
| (301) 206-6107 | |
| Not Available |
| Full Name | Univeristy Of California |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 325 Westwood Plz, Los Angeles, California |
| Authorized Official Name and Position | Dale Rudd (DIRECTOR OF SPORTS MED) |
| Authorized Official Contact | 3102066107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Univeristy Of California Po Box 819020 Dallas TX 75381-9020 Ph: () - | Univeristy Of California 325 Westwood Plz Los Angeles CA 90095-8356 Ph: (301) 206-6107 |
| NPI Number | 1275807000 |
|---|---|
| Provider Enumeration Date | 02/24/2012 |
| Last Update Date | 02/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275807000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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