| NPI | 1891110888 |
|---|---|
| Doing Business As | UCLA ENTERTAINMENT IND MEDGRP |
| Entity Type | Organization |
| Authorized Contact | KATHIE HALE Chief Financial Officer 310-301-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2020-11-19 |