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Individual

DR. SEONG RA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
UCLA MEDICAL CTR, 10833 LE CONTE AVENUE, RM A7-149, LOS ANGELES, CA 90095-0001
(310) 825-2365
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8605

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
A94085
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A94085
CA
282N00000X
General Acute Care Hospital
A94085
CA

Other

Enumeration date
03/16/2009
Last updated
09/22/2020
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