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Organization

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Active
Other names
UCLA Orthopedic Surgery Med Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFFREY ECKARDT MD (PROFESSOR AND CHAIR)
(310) 794-7930
Entity
Organization

Contact information

Practice address
1000 VETERAN AVE, ROOM 22-64, LOS ANGELES, CA 90095-2704
(310) 825-5858
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist
Primary

Other

Enumeration date
05/08/2013
Last updated
08/13/2019
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