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Organization

UCLA FAMILY MEDICINE RESIDENCY PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HABAKUK MICHEL (RESIDENT)
(310) 319-4700
Entity
Organization

Contact information

Practice address
1920 COLORADO AVE, 2ND FLOOR, SANTA MONICA, CA 90404
(310) 319-4700
Mailing address
1920 COLORADO AVE, 2ND FLOOR, SANTA MONICA, CA 90404
(310) 319-4700

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
08/04/2015
Last updated
08/04/2015
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