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Organization

UCLA DAVID GERFFEN

Active
Other names
Golam Berenji, MD
Organization subpart
No

Provider details

NPI number
Authorized official
GOLAM R. BERENJI MD (PROGRAM DRIECTOR)
(310) 478-3711
Entity
Organization

Contact information

Practice address
245 N 15TH ST, PHILADELPHIA, PA 19102-1101
(215) 762-3585
(215) 762-3058
Mailing address
BOX 951722, 12-138 CHS, LOS ANGELES, CA 90095
(310) 825-6816
(310) 825-3879

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A117646
CA
282N00000X
General Acute Care Hospital
MT1936988
PA

Other

Enumeration date
10/29/2008
Last updated
01/10/2012
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