05D2131263 CLIA NUMBER - UCLA HEALTH DIGESTIVE DISEASES SOUTH BAY

Laboratory Demographics

CLIA Number: 05D2131263

Facility Name: UCLA HEALTH DIGESTIVE DISEASES SOUTH BAY

Facility Address:
2780 SKYPARK DR STE 135
TORRANCE, CA
ZIP 90505
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Facility Phone Number: 310 530-8013

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346684842

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name	Field Value
CLIA Number	05D2131263
LAB Type	Physician Office
Facility Name	UCLA HEALTH DIGESTIVE DISEASES SOUTH BAY
Street	2780 SKYPARK DR STE 135
City	TORRANCE
State	CA
ZIP	90505
Phone	310 530-8013
CertificateType	4
CertificateEffectiveDate	5/24/2023
CertificateExpirationDate	5/23/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024