UCLA UROLOGY ASSOCIATES NPI 1285692822

NPI Information

  • NPI: 1285692822
  • Provider Name: UCLA UROLOGY ASSOCIATES
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 05D0681215
  • Address: 1260 15TH ST
    SUITE 1200
    SANTA MONICA, CA
    ZIP 90404
  • Phone: (310) 451-8751

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NPI Details

UCLA UROLOGY ASSOCIATES is an urology in Santa Monica, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. UCLA UROLOGY ASSOCIATES NPI is 1285692822. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1260 15TH ST
SUITE 1200
SANTA MONICA, CA
ZIP 90404-135
Phone: (310) 451-8751

The provider's authorized official is Jean B Dekernion .
The authorized official title is Proffessor And Chair and has the following contact phone number (310) 306-6453.

The CLIA number assigned to this NPI record is 05D0681215 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 6/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W13610AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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