Organization
UNIVERSITY CARDIOVASCULAR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON KOBASHIGAWA M.D. (PRESIDENT)
(310) 794-1200
Entity
Organization
Contact information
Practice address
1304 15TH ST, SUITE 102, SANTA MONICA, CA 90404-1809
(310) 794-1200
(310) 794-1211
Mailing address
100 UCLA MEDICAL PLZ, SUITE 630, LOS ANGELES, CA 90095-0001
(310) 794-1200
(310) 794-1211
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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