# UCLA

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

## Provider details

- **NPI number:** 1811296072
- **Authorized official:** DESIREE ACOB (RESIDENCY COORDINATOR)
- **Authorized official phone:** (310) 825-6643

## Contact information

- **Practice address:** 10833 LE CONTE AVE, 72-229 CHS, LOS ANGELES, CA 90095-1749
- **Practice address phone:** (310) 825-6643
- **Practice address fax:** (310) 267-0369
- **Mailing address:** 10833 LE CONTE AVE, 72-229 CHS, LOS ANGELES, CA 90095-1749
- **Mailing address phone:** (310) 825-6643
- **Mailing address fax:** (310) 267-0369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 208D00000X | CA | Yes |

## Other

- **Enumeration date:** 03/26/2011
- **Last updated:** 03/26/2011