Organization
UCLA UROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN B DEKERNION M.D. (PROFFESSOR AND CHAIR)
(310) 306-6453
Entity
Organization
Contact information
Practice address
1260 15TH ST, SUITE 1200, SANTA MONICA, CA 90404-1135
(310) 451-8751
Mailing address
FILE 2939, LOS ANGELES, CA 90074-2939
(310) 301-8708
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
06/27/2008
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