Provider Demographics
NPI:1366671612
Name:WRIGHT, FLORENCE (MD)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:310-825-0128
Mailing Address - Fax:310-301-8751
Practice Address - Street 1:200 UCLA MEDICAL PLZ
Practice Address - Street 2:SUITE B265
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-825-9771
Practice Address - Fax:310-301-8751
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2016-10-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1391572085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1366671612Medicaid
CAP01708890OtherRR MEDICARE
CAP01708890OtherRR MEDICARE
CACB260761Medicare PIN