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Organization

UCLA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GENE BLOCK (CHIEF EXECUTIVE OFFICER)
(310) 825-2151
Entity
Organization

Contact information

Practice address
660 CHARLES E YOUNG DR SOUTH, ROOM 259, BRAIN MAPPING CENTER, LOS ANGELES, CA 90095
(310) 754-6518
Mailing address
660 CHARLES E YOUNG DR SOUTH, ROOM 259, BRAIN MAPPING CENTER, LOS ANGELES, CA 90095

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
110110000034410
ZZ

Other

Enumeration date
09/11/2013
Last updated
09/11/2013
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