Organization
UCLA, STUDENT PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH GONG-GUY PH.D (DIRECTOR)
(310) 825-0768
Entity
Organization
Contact information
Practice address
221 WESTWOOD PLAZA, JOHN WOODEN CENTER WEST, LOS ANGELES, CA 90095-0001
(310) 825-0768
Mailing address
221 WESTWOOD PLAZA, LOS ANGELES, CA 90095-1556
(310) 825-0768
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
LCS 20905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS 20905
LCSW
CA
Enumeration date
10/12/2007
Last updated
10/12/2007
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