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Organization

UCLA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RONALD LOPEZ (PROGRAM COORDINATOR)
(310) 825-0018
Entity
Organization

Contact information

Practice address
760 WESTWOOD PLZ, UCLA PSYCHIATRY RES ED OFFICE, LOS ANGELES, CA 90024-5055
(310) 825-0018
Mailing address
760 WESTWOOD PLZ, UCLA PSYCHIATRY RES ED OFFICE, LOS ANGELES, CA 90024-5055
(310) 825-0018

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary

Other

Enumeration date
04/10/2012
Last updated
04/10/2012
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