Organization · Type 2 NPI

Ucla Department of Pediatric Group Practice

Family Nurse Practitioner · Los Angeles, CA

NPI number 1093025355 Active

Practice location

200 Medical Plz, Suite 265
Los Angeles, CA 90095-0001

Call (310) 825-0867 Map

Fax (310) 206-5146

Mailing address

10833 Le Conte Ave, 22-474 Mdcc
Los Angeles, CA 90095-1752

Specialties and licenses

TaxonomyCodeLicense
Pediatric Registered Nurse 163WP0200X677319 (CA)
Family Nurse Practitioner Primary 363LF0000X19341 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1093025355

Ucla Department of Pediatric Group Practice's National Provider Identifier is 1093025355, issued on Oct 20, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 20, 2010.