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NPI Code Detail

MEDICARE: UCLA ARTHUR ASHE STUDENT HEALTH AND WELLNESS CENTER

MEDICARE: UCLA ARTHUR ASHE STUDENT HEALTH AND WELLNESS CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QS1000XStudent Health Clinic/Center

General Provider Information

NPI Number : 1346316551
Entity Type Code : Organization
Provider Name (Legal Business Name) : UCLA ARTHUR ASHE STUDENT HEALTH AND WELLNESS CENTER
Provider Business Mailing Address
First Line : 221 WESTWOOD PLZ
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-1703
Country : US
Telephone Number : 310-825-4073
Fax Number : 310-206-2747
Provider Business Practice Location Address
First Line : 221 WESTWOOD PLZ
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-1703
Country : US
Telephone Number : 310-825-4073
Fax Number : 310-206-2747
Authorized Official
Title or Position : MANAGER OF IT
Name : MR. SAM BROWN
Credential :
Telephone Number : 310-206-6356
Provider Enumeration Date : 11/28/2006
Last Update Date : 08/22/2020

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Directions to “UCLA ARTHUR ASHE STUDENT HEALTH AND WELLNESS CENTER ” Practice Location

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