Organization
UCLA PEDIATRICS
Active
Parent organization
UCLA DEPARTMENT OF PEDIATRICS GROUP PRACTICE
Other names
UCLA Pediatrics-Gary Rachelefsky
Organization subpart
Yes
Provider details
NPI number
Legal business name
UCLA DEPARTMENT OF PEDIATRICS GROUP PRACTICE
Authorized official
DR. GARY RACHELEFSKY M.D. (DIRECTOR; EXECUTIVE FOR CAARD)
(310) 206-3952
Entity
Organization
Contact information
Practice address
200 MED PLZ, STE 140-17, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209
Mailing address
10833 LE CONTE AVE, 12-441 MDCC, LOS ANGELES, CA 90095-3075
(310) 206-3952
(310) 206-0209
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
G22339
CA
Other
Enumeration date
09/26/2007
Last updated
05/27/2011
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