Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA Plastic SUrgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA MORRISSEY (EXECUTIVE ADMINISTRATOR)
(310) 825-5318
Entity
Organization
Contact information
Practice address
200 MEDICAL PLZ, SUITE 465, LOS ANGELES, CA 90095-0001
(310) 825-5510
(310) 301-8751
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 301-8708
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0067460
—
CA
Enumeration date
04/19/2006
Last updated
10/24/2019
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