Organization
UCLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSEANNA PAULINE MALONE NP (RESEARCH COORDINATOR)
(310) 794-0242
Entity
Organization
Contact information
Practice address
924 WESTWOOD BLVD STE 200, LOS ANGELES, CA 90024-2923
(310) 794-0242
(310) 794-0244
Mailing address
842 PALMS BLVD, VENICE, CA 90291-3851
(310) 794-0242
(310) 794-0244
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
18439
CA
Other
Enumeration date
10/19/2009
Last updated
10/19/2009
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