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Organization

THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

Active
Other names
UCLA Urology Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK S. LITWIN M.D. (PROFFESSOR AND CHAIR)
(310) 794-7700
Entity
Organization

Contact information

Practice address
200 MEDICAL PLZ, SUITE 140, LOS ANGELES, CA 90095-3075
(310) 794-7700
(310) 301-8751
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-7700
(310) 301-8751

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0066540
CA
05
GR0066541
CA
Enumeration date
05/03/2006
Last updated
05/14/2019
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