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UC REGENTS UCLA DEPARTMENT OF MEDICINE PROFESSIONAL GROUP

Allergy and Immunology

Los Angeles, California

Provider NPI: 1285603902

Organization Information:
Organization Name:  UC REGENTS UCLA DEPARTMENT OF MEDICINE PROFESSIONAL GROUP


Practice Location:
UC REGENTS UCLA DEPT OF MED PROF GRP 100 MED PLAZA SUITE 290,450,455,490,525,550,510,700 LOS ANGELES, CA 90095 US
Tel: 310-794-4955  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X207K00000XPhysicians
Allergy & Immunology
X207Q00000XPhysicians
Family Medicine
X207R00000XPhysicians
Internal Medicine
X207RA0201XPhysicians
Internal Medicine
X207RC0000XPhysicians
Internal Medicine
X207RE0101XPhysicians
Internal Medicine
X207RG0100XPhysicians
Internal Medicine
X207RG0300XPhysicians
Internal Medicine
X207RH0003XPhysicians
Internal Medicine
X207RI0001XPhysicians
Internal Medicine
X207RI0008XPhysicians
Internal Medicine
X207RI0200XPhysicians
Internal Medicine
X207RN0300XPhysicians
Internal Medicine
X207RP1001XPhysicians
Internal Medicine
X207RR0500XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PROVIDER GROUP #W11854OCA01
MEDICARE PROVIDER GROUP #W11854AACA01
MEDICARE PROVIDER GROUP #W11854FCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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