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Organization
UCLA MEDICAL GROUP
Active
Organization
UCLA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA A KAPUR MD (CEO)
(310) 267-8642
Entity
Organization
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 794-8883
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5632
(310) 794-8883
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
05/17/2007
Last updated
09/12/2012
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