Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
Ucla Urology Andrology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S. LITWIN MD (DEPT. CHAIR)
(310) 206-8183
Entity
Organization
Contact information
Practice address
1260 15TH ST, SUITE 1200, SANTA MONICA, CA 90404-1135
(310) 794-7700
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-7700
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
CA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
—
CA
2088P0231X
Pediatric Urology Physician
—
CA
Other
Enumeration date
11/03/2015
Last updated
11/12/2015
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