Provider First Line Business Practice Location Address:
NPI UCLA SEMEL INSTITUTE
Provider Second Line Business Practice Location Address:
760 WESTWOOD PLAZA
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90095-8353
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-825-0463
Provider Business Practice Location Address Fax Number:
310-476-3099
Provider Enumeration Date:
02/07/2013