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Organization
HARBOR UCLA MEDICAL CENTER
Active
Organization
HARBOR UCLA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA MAGNO CABALLERO (NURSING STUDENT)
(310) 940-8374
Entity
Organization
Contact information
Practice address
4012 W 129TH ST, APT. #3, HAWTHORNE, CA 90250-5245
(310) 644-3564
Mailing address
4012 W 129TH ST, APT. #3, HAWTHORNE, CA 90250-5245
(310) 644-3564
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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