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Organization
UNIVERISTY OF CALIFORNIA
Active
Organization
UNIVERISTY OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE RUDD (DIRECTOR OF SPORTS MED)
(310) 206-6107
Entity
Organization
Contact information
Practice address
325 WESTWOOD PLZ, LOS ANGELES, CA 90095-8356
(301) 206-6107
Mailing address
PO BOX 819020, DALLAS, TX 75381-9020
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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