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Organization

UNIVERSITY OF CALIFORNIA LOS ANGELES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAIGO YAGISHITA M.D. (VISITING ASSISTANT RESEARCHER)
(310) 709-9379
Entity
Organization

Contact information

Practice address
650 CHARLES E. YOUNG DRIVE SOUTH, 100 UCLA MEDICAL PLAZA, SUITE 660, LOS ANGELES, CA 90095
(310) 709-9379
Mailing address
11734 WILSHIRE BLVD., C703, LOS ANGELES, CA 90025

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CA

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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