UCLA DEPARTMENT OF PEDIATRIC GROUP PRACTICE is a family nurse practitioner in Los Angeles, CA. UCLA DEPARTMENT OF PEDIATRIC GROUP PRACTICE NPI is 1093025355. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
200 MEDICAL PLZ
SUITE 265
LOS ANGELES, CA
ZIP 90095-001
Phone: (310) 825-0867
Fax: (310) 206-5146
The provider's authorized official is Sherin Devaskar .
The authorized official title is Interim Executive Chair and has the following contact phone number (310) 825-5095.
The enumeration date for this NPI number is 10/20/2010 and was last updated on 10/20/2010.