Organization
UC REGENTS PHARMACOLOGY AND NUCLEAR MEDICINE PRACTICE GROUP
Active
Organization
UC REGENTS PHARMACOLOGY AND NUCLEAR MEDICINE PRACTICE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERLY MOSESSIAN PH.D. (CHIEF ADMINITRATIVE OFFICER)
(310) 267-1188
Entity
Organization
Contact information
Practice address
10833 LE CONTE AVE, AR105 CHS, LOS ANGELES, CA 90095-3075
(310) 794-9513
(310) 267-2538
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 794-9513
(310) 267-2538
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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