Provider First Line Business Practice Location Address:
UCLA DIVISION OF VASCULAR SURGERY
Provider Second Line Business Practice Location Address:
200 UCLA MEDICAL PLAZA, SUITE 510-6
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90095-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-206-5145
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/18/2012