Provider Demographics
NPI:1346602042
Name:RONALD REAGAN UCLA
Entity Type:Organization
Organization Name:RONALD REAGAN UCLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-561-7133
Mailing Address - Street 1:3759 DELMAS TER
Mailing Address - Street 2:UNIT 2
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-5168
Mailing Address - Country:US
Mailing Address - Phone:909-561-7133
Mailing Address - Fax:
Practice Address - Street 1:3759 DELMAS TER
Practice Address - Street 2:UNIT 2
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-5168
Practice Address - Country:US
Practice Address - Phone:909-561-7133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital