# UNIVERSITY CARDIOVASCULAR MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346497328
- **Authorized official:** DR. JON KOBASHIGAWA M.D. (PRESIDENT)
- **Authorized official phone:** (310) 794-1200

## Contact information

- **Practice address:** 1304 15TH ST, SUITE 102, SANTA MONICA, CA 90404-1809
- **Practice address phone:** (310) 794-1200
- **Practice address fax:** (310) 794-1211
- **Mailing address:** 100 UCLA MEDICAL PLZ, SUITE 630, LOS ANGELES, CA 90095-0001
- **Mailing address phone:** (310) 794-1200
- **Mailing address fax:** (310) 794-1211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 08/21/2008