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Organization
UC REGENTS UCLA UROLOGY ASSOCIATES
Active
Organization
UC REGENTS UCLA UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. JEAN DEKERNION M.D. (CHAIR)
(310) 301-8751
Entity
Organization
Contact information
Practice address
200 MEDICAL PLZ, SUITE 365, LOS ANGELES, CA 90095-0001
(310) 206-1632
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 301-8708
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
284300000X
Special Hospital
F5519
CA
Other
Enumeration date
12/21/2008
Last updated
12/21/2008
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