Provider First Line Business Practice Location Address:
200 UCLA MEDICAL PLAZA
Provider Second Line Business Practice Location Address:
UNIVERSITY OF CALIFORNIA LOS ANGELES DAVID GEFFEN SCHOO
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-824-2448
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/17/2009