| NPI | 1033516943 |
|---|---|
| Doing Business As | UCLA DEPT. OF PEDIATRIC GRP PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SHERIN DEVASKAR Executive Chair 310-825-5095 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |