Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
Plastic Surgery Group of UCLA
Organization subpart
No
Provider details
NPI number
Authorized official
REZA JARRAHY MD (HS CLINICAL PROFESSOR)
(310) 825-0065
Entity
Organization
Contact information
Practice address
200 MEDICAL PLZ, SUITE 465, LOS ANGELES, CA 90095-6960
(310) 825-0065
(310) 794-7933
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
12/05/2023
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