Organization
UCLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR ENTEZARI M.D (RESIDENT)
(949) 677-4790
Entity
Organization
Contact information
Practice address
200 UCLA MEDICAL PLZ, SUITE B114, LOS ANGELES, CA 90095-8344
(310) 983-1436
Mailing address
200 UCLA MEDICAL PLZ STE B114, LOS ANGELES, CA 90095-8344
(310) 983-1425
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
A122478
CA
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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