Healthcare Provider Details

I. General information

NPI: 1932583077
Provider Name (Legal Business Name): HARBOR-UCLA MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2015
Last Update Date: 07/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 W. CARSON ST HABOR UCLA MEDICAL CENTER
TORRANCE CA
90502
US

IV. Provider business mailing address

4715 CASTANA AVE
LAKEWOOD CA
90712-3504
US

V. Phone/Fax

Practice location:
  • Phone: 310-222-2343
  • Fax:
Mailing address:
  • Phone: 562-473-9793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. SYLVIA YEH
Title or Position: PROGRAM DIRECTOR
Credential: M.D.
Phone: 310-222-2343