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Organization
UC REGENTS
Active
Organization
UC REGENTS
Active
Other names
UCLA Dept of Pediatric Grp Practice
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIN DEVASKAR M.D. (INTERIM EXECUTIVE CHAIR)
(370) 825-5095
Entity
Organization
Contact information
Practice address
200 UCLA MEDICAL PLAZA, SUITE 265, LOS ANGELES, CA 90095-8344
(310) 825-0867
(310) 206-5146
Mailing address
10833 LE CONTE AVE, 32-263 CHS, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0201X
Pediatric Allergy/Immunology Physician
—
—
2080P0202X
Pediatric Cardiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
2080S0010X
Pediatric Sports Medicine Physician
—
—
Other
Enumeration date
04/11/2006
Last updated
11/18/2014
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