| NPI | 1932627163 |
|---|---|
| Doing Business As | RONALD REAGAN UCLA - MEDICAL PLAZA LEVEL I PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TAMMY LEHR WALLACE Chief Financial Officer 310-267-9307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-10-16 |