# UCLA DAVID GERFFEN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golam Berenji, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316190788
- **Authorized official:** GOLAM R. BERENJI MD (PROGRAM DRIECTOR)
- **Authorized official phone:** (310) 478-3711

## Contact information

- **Practice address:** 245 N 15TH ST, PHILADELPHIA, PA 19102-1101
- **Practice address phone:** (215) 762-3585
- **Practice address fax:** (215) 762-3058
- **Mailing address:** BOX 951722, 12-138 CHS, LOS ANGELES, CA 90095
- **Mailing address phone:** (310) 825-6816
- **Mailing address fax:** (310) 825-3879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A117646 | CA | Yes |
| 282N00000X | General Acute Care Hospital | MT1936988 | PA | — |

## Other

- **Enumeration date:** 10/29/2008
- **Last updated:** 01/10/2012