| NPI | 1780818765 |
|---|---|
| Doing Business As | RONALD REAGAN UCLAMC |
| Entity Type | Organization |
| Authorized Contact | PAUL ALVIN STATON CFO 310-267-9308 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 40977) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-11-06 |