Organization
UCLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARTLY J MONDINO MD (DEPARTMENT CHAIR)
(310) 825-5053
Entity
Organization
Contact information
Practice address
200 STEIN PLZ, LOS ANGELES, CA 90095-0001
(310) 206-7474
Mailing address
200 STEIN PLZ, LOS ANGELES, CA 90095-0001
(310) 206-7474
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F5829
CA
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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