| Ucla Entertainment Industry Medical Group | |
|
26585 Agoura Rd Ste 330 Calabasas CA 91302-1958 | |
| (818) 876-1050 | |
| Not Available |
| Full Name | Ucla Entertainment Industry Medical Group |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 26585 Agoura Rd Ste 330, Calabasas, California |
| Authorized Official Name and Position | Katherine A Hale (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3103015311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ucla Entertainment Industry Medical Group 5767 W Century Blvd 400 Los Angeles CA 90045-5631 Ph: (310) 301-8707 | Ucla Entertainment Industry Medical Group 26585 Agoura Rd Ste 330 Calabasas CA 91302-1958 Ph: (818) 876-1050 |
| NPI Number | 1952797367 |
|---|---|
| Provider Enumeration Date | 04/13/2015 |
| Last Update Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952797367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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