UCLA Department of Pediatric Group Practice
UCLA Department of Pediatric Group Practice provides Pediatric Registered Nurse services in Los Angeles, California. Licensed in California. Registered with an NPI since 2010.
- Licensed in
- CA
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
200 Medical Plz Ste 265Los Angeles, CA 90095-0001 Not confirmed with CMS for 15 years — call before visiting
Phone: (310) 825-0867
Fax: (310) 206-5146
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 19341 (CA) |
|---|---|
| Pediatric Registered Nurse | Taxonomy 163WP0200X · Licence 677319 (CA) |
Record details
| NPI number | 1093025355 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sherin Devaskar — Interim Executive Chair · (310) 825-5095 |
| NPI enumerated | October 20, 2010 |
| Last updated in NPPES | October 20, 2010 |
| Mailing address | 10833 Le Conte Ave, 22-474 Mdcc, Los Angeles, CA 90095-1752 |
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