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General NPI Number Information
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NPI Number | 1205959426
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Entity Type | Organization
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Legal Business Name | UCLA MEDICAL CENTER
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10833 LE CONTE AVE 17-153 CHS
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City | LOS ANGELES
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State | CA
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Zip | 90095-1734
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Country | US
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Telephone | 310-825-7047
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Fax | 310-794-6616
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Provider Business Mailing Address
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Address Line | 10833 LE CONTE AVE 17-153 CHS
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City | LOS ANGELES
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State | CA
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Zip | 90095-1734
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Country | US
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Telephone | 310-825-7047
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Fax | 310-794-6616
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. HELEN CONTRERAZ
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Credential |
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Telephone | 310-825-7047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State |
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