# UCLA

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

## Provider details

- **NPI number:** 1457600165
- **Authorized official:** AMIR ENTEZARI M.D (RESIDENT)
- **Authorized official phone:** (949) 677-4790

## Contact information

- **Practice address:** 200 UCLA MEDICAL PLZ, SUITE B114, LOS ANGELES, CA 90095-8344
- **Practice address phone:** (310) 983-1436
- **Mailing address:** 200 UCLA MEDICAL PLZ STE B114, LOS ANGELES, CA 90095-8344
- **Mailing address phone:** (310) 983-1425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A122478 | CA | Yes |

## Other

- **Enumeration date:** 09/10/2012
- **Last updated:** 09/10/2012