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Organization
UC REGENTS UCLA NPBH
Active
Organization
UC REGENTS UCLA NPBH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH CLIFFORD SP (GROUP AUTHORIZER)
(310) 825-9989
Entity
Organization
Contact information
Practice address
760 WESTWOOD PLZ, LOS ANGELES, CA 90095-8353
(310) 825-9989
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSP000650
—
CA
Enumeration date
02/27/2008
Last updated
05/30/2008
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