# UNIVERSITY OF CALIFORNIA, LOS ANGELES

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

## Provider details

- **NPI number:** 1639306798
- **Authorized official:** DR. ARNOLD I CHIN MD, PHD (ASSISTANT PROFESSOR)
- **Authorized official phone:** (310) 206-6766

## Contact information

- **Practice address:** CLARK UROLOGY CENTER 200 MEDICAL PLZ, SUITE \#140, LOS ANGELES, CA 90095-0001
- **Practice address phone:** (310) 206-6766
- **Practice address fax:** (310) 206-5343
- **Mailing address:** DEPARTMENT OF UROLOGY 650 CHARLES YOUNG DR, BOX 951738, LOS ANGELES, CA 90095-0001
- **Mailing address phone:** (310) 206-6766
- **Mailing address fax:** (310) 206-5343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | A89934 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 06/16/2009
