Organization
LAC USC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RON BEN -ARI M.D. (PROGRAM DIRECTOR)
(323) 226-7556
Entity
Organization
Contact information
Practice address
2020 ZONAL AVE, IRD BUILDING,INTERNAL MEDICINE DEPARTMENT, LOS ANGELES, CA 90089-0121
(323) 226-7556
Mailing address
18417 JEFFREY AVE, CERRITOS, CA 90703-6150
(562) 402-0727
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
A105552
CA
282N00000X
General Acute Care Hospital
Primary
A105552
CA
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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