Basic Information
| Provider Information | |||||||||
| NPI: | 1205076452 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | DAVID GEFFEN SCHOOL OF MEDICINE AT UCLA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1134 9TH ST APT G | ||||||||
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| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904035218 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104349634 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11301 WILSHIRE BLVD BLDG 115 | ||||||||
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| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900731003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3104783711 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/01/2009 | ||||||||
| LastUpdateDate: | 03/01/2009 | ||||||||
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| AuthorizedOfficialLastName: | ZIFF | ||||||||
| AuthorizedOfficialFirstName: | ROSE | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR, GME | ||||||||
| AuthorizedOfficialTelephone: | 3108258041 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | A97323 | CA | Y | Hospitals | General Acute Care Hospital |
No ID Information.