Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA CPN SANTA MONICA BAY PHYSICIAN
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD J KATZ MD (MD)
(310) 459-2363
Entity
Organization
Contact information
Practice address
4560 ADMIRALTY WAY, 100, MARINA DEL REY, CA 90292-5423
(310) 301-8707
Mailing address
5767 W CENTURY BLVD, 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
CA
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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