Organization · Type 2 NPI

Uc Regents Ucla Dept of Med PR

Family Medicine Physician · Santa Monica, CA

NPI number 1295783355 Active

Practice location

1801 Wilshire Blvd, Suite 100
Santa Monica, CA 90403-5609

Call (310) 828-7172 Map

Mailing address

PO Box 24DD5 Westwood Station
Los Angeles, CA 90024

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Internal Medicine Physician	207R00000X	None listed
Allergy & Immunology (Internal Medicine) Physician	207RA0201X	None listed
Cardiovascular Disease Physician	207RC0000X	None listed
Endocrinology, Diabetes & Metabolism Physician	207RE0101X	None listed
Gastroenterology Physician	207RG0100X	None listed
Geriatric Medicine (Internal Medicine) Physician	207RG0300X	None listed
Hematology & Oncology Physician	207RH0003X	None listed
Hepatology Physician	207RI0008X	None listed
Infectious Disease Physician	207RI0200X	None listed
Nephrology Physician	207RN0300X	None listed
Pulmonary Disease Physician	207RP1001X	None listed
Rheumatology Physician	207RR0500X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

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About NPI 1295783355

Uc Regents Ucla Dept of Med PR's National Provider Identifier is 1295783355, issued on May 4, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Santa Monica, CA. The record was last updated on Sep 11, 2025.