Organization · Type 2 NPI

Uc Regents Ucla DMPG Brentwood

Adolescent Medicine (Internal Medicine) Physician · Los Angeles, CA

NPI number 1316905326 Active

Practice location

11980 San Vicente Blvd, Suite 102
Los Angeles, CA 90049-5012

Mailing address

PO Box 24DD5, Westwood Station
Los Angeles, CA 90024-0001

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Adolescent Medicine (Internal Medicine) Physician Primary 207RA0000XNone listed
Pediatrics Physician 208000000XNone listed

Adolescent Medicine (Internal Medicine) Physician: An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

64 other providers at this address

Other adolescent medicine (internal medicine) physician providers in Los Angeles

See all in Los Angeles →

About NPI 1316905326

Uc Regents Ucla DMPG Brentwood's National Provider Identifier is 1316905326, issued on May 2, 2006. The primary taxonomy on file is Adolescent Medicine (Internal Medicine) Physician (207RA0000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 11, 2025.