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General NPI Number Information
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NPI Number | 1326249962
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Entity Type | Organization
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Legal Business Name | UCLA
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5900 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-4671
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Country | US
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Telephone | 323-932-5342
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Fax |
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Provider Business Mailing Address
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Address Line | 5420 SYLMAR AVE APT 208
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City | SHERMAN OAKS
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State | CA
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Zip | 91401-5142
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Country | US
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Telephone | 818-908-1097
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. TAMAR BARUCH-OREN
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Credential | M.D.
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Telephone | 323-932-5346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | A70968
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License Number State | CA
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