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Organization
NEUROLOGY & REHABILITATION MEDICAL GROUP
Active
Organization
NEUROLOGY & REHABILITATION MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA M HERRARTE (MEDICAL BILLER)
(310) 794-4130
Entity
Organization
Contact information
Practice address
100 UCLA MEDICAL PLZ, STE 425, LOS ANGELES, CA 90095-0001
(310) 794-1500
(310) 794-1517
Mailing address
100 UCLA MEDICAL PLZ, STE 425, LOS ANGELES, CA 90095-0001
(310) 794-1500
(310) 794-1517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32213027
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0022710
—
CA
Enumeration date
04/16/2007
Last updated
05/05/2009
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