Organization · Type 2 NPI

Rome Jutabha MD Prof Corp

Medical Specialty Clinic/Center · Los Angeles, CA

NPI number 1073798286 Active

Practice location

100 Ucla Medical Plaza, Suite 310
Los Angeles, CA 90095-0001

Call (310) 825-5037 Map

Fax (310) 206-0495

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XG68613 (CA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

12 other providers at this address

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About NPI 1073798286

Rome Jutabha MD Prof Corp's National Provider Identifier is 1073798286, issued on Jan 7, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 7, 2008.