MEDICARE: RONALD REAGAN UCLA

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
1	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1346602042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD REAGAN UCLA

Provider Business Mailing Address
First Line	:	3759 DELMAS TER
Second Line	:	UNIT 2
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-5168
Country	:	US
Telephone Number	:	909-561-7133
Fax Number	:

Provider Business Practice Location Address
First Line	:	3759 DELMAS TER
Second Line	:	UNIT 2
City	:	LOS ANGELES
State	:	CA
Zip	:	90034-5168
Country	:	US
Telephone Number	:	909-561-7133
Fax Number	:

Authorized Official
Title or Position	:	RESIDENT PHYSICIAN
Name	:	DR. NEHA AGARWAL
Credential	:	MD
Telephone Number	:	909-561-7133

Provider Enumeration Date	:	03/22/2016
Last Update Date	:	03/22/2016

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Directions to “RONALD REAGAN UCLA ” Practice Location

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