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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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