Ucla Pediatrics

NPI #1255528055 in Los Angeles, California

Provider Information

NPI Number
1255528055
Entity Type
Organization
Organization Name
Ucla Pediatrics
Subpart
Yes (part of a larger organization)
Parent Organization
UCLA DEPARTMENT OF PEDIATRICS GROUP PRACTICE
Primary Specialty
Allergy & Immunology - Clinical & Laboratory Immunology
Enumeration Date
Sep 26, 2007
Last Updated
May 27, 2011

Practice Location

Address
200 MED PLZ
Address 2
STE 140-17
ZIP Code
90095-3075
Phone
(310) 206-3952

Authorized Official

Name
DR. GARY RACHELEFSKY, M.D.
Title
DIRECTOR; EXECUTIVE FOR CAARD
Phone
(310) 206-3952

Specialties & Taxonomy Codes

Specialty
Allergy & Immunology - Clinical & Laboratory ImmunologyClinical & Laboratory Immunology

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