Organization
UNIVERSITY OF CALIFORNIA LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIN DEVASKAR (MD)
(310) 206-1826
Entity
Organization
Contact information
Practice address
LE CONTE AVE 12 430 CHS, LOS ANGELES, CA 90095-1752
(310) 206-1826
(310) 825-9832
Mailing address
LE CONTE AVE 12 430 CHS, LOS ANGELES, CA 90095-1752
Taxonomy
Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
Primary
A119502
CA
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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