Organization
UC REGENTS
Active
Parent organization
UC REGENTS
Other names
UCLA Dept. of Pediatric grp practice
Organization subpart
Yes
Provider details
NPI number
Legal business name
UC REGENTS
Authorized official
DR. SHERIN DEVASKAR M.D.. (EXECUTIVE CHAIR)
(310) 825-5095
Entity
Organization
Contact information
Practice address
10833 LE CONTE, LOS ANGELES, CA 90095-1752
(310) 825-5904
(310) 206-8616
Mailing address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-1752
(310) 825-5904
(310) 206-8616
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
CA
Other
Enumeration date
11/21/2014
Last updated
11/21/2014
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