Organization · Type 2 NPI

Ucla Pediatrics

Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Los Angeles, CA

NPI number 1255528055 Active

Practice location

200 Med Plz, Ste 140-17
Los Angeles, CA 90095-3075

Call (310) 206-3952 Map

Fax (310) 206-0209

Mailing address

10833 Le Conte Ave, 12-441 Mdcc
Los Angeles, CA 90095-3075

Specialties and licenses

Taxonomy	Code	License
Clinical & Laboratory Immunology (Allergy & Immunology) Physician Primary	207KI0005X	G22339 (CA)

Clinical & Laboratory Immunology (Allergy & Immunology) Physician: An allergy and immunology physician who specializes in clinical and laboratory immunology disease management..

10 other providers at this address

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NPI record

NPI: 1255528055
Entity type: Organization (Type 2)
Issued: Sep 26, 2007
Last updated: May 27, 2011
Status: Active
Subpart: Yes of Ucla Department of Pediatrics Group Practice

Other names

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Ucla Pediatrics-Gary Rachelefsky · former legal business name

Authorized official

Dr. Gary Rachelefsky, MD
Director; Executive for Caard
(310) 206-3952

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About NPI 1255528055

Ucla Pediatrics's National Provider Identifier is 1255528055, issued on Sep 26, 2007. The primary taxonomy on file is Clinical & Laboratory Immunology (Allergy & Immunology) Physician (207KI0005X), and the practice location is in Los Angeles, CA. The record was last updated on May 27, 2011.