Organization
ROME JUTABHA MD PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ARLAENA L BEANE (COLLECTIONS MANAGER)
(310) 825-5037
Entity
Organization
Contact information
Practice address
100 UCLA MEDICAL PLAZA, SUITE 310, LOS ANGELES, CA 90095-0001
(310) 825-5037
(310) 206-0495
Mailing address
100 UCLA MEDICAL PLAZA, SUITE 310, LOS ANGELES, CA 90095-0001
(310) 825-5037
(310) 206-0495
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G68613
CA
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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