Provider First Line Business Practice Location Address:
UCLA PSYCHIATRY HOUSE STAFF OFFICE
Provider Second Line Business Practice Location Address:
760 WESTWOOD PLAZA, SUITE 37-384
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-206-6721
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/05/2021