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Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA OB-GYN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH KRAKOW MD (PROF. & DEPT CHAIR)
(310) 794-3639
Entity
Organization
Contact information
Practice address
200 MEDICAL PLAZA, SUITE 430, LOS ANGELES, CA 90095-0001
(310) 794-8282
Mailing address
PO BOX 24DD5 WESTWOOD STATION, LOS ANGELES, CA 90024
(319) 301-8750
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VC0200X
Critical Care Medicine (Obstetrics & Gynecology) Physician
—
—
207VE0102X
Reproductive Endocrinology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
207VX0000X
Obstetrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZP1940Z
—
CA
Enumeration date
03/15/2006
Last updated
09/17/2019
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