Provider Demographics
NPI:1689870743
Name:UCLA DEPT OF ORTHOPAEDIC SURGERY
Entity Type:Organization
Organization Name:UCLA DEPT OF ORTHOPAEDIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF, ARTHROPLASTY SERVICE
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:OAKES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-319-4257
Mailing Address - Street 1:1250 16TH ST
Mailing Address - Street 2:SUITE 744
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-1249
Mailing Address - Country:US
Mailing Address - Phone:310-319-4282
Mailing Address - Fax:
Practice Address - Street 1:1250 16TH ST
Practice Address - Street 2:SUITE 744
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1249
Practice Address - Country:US
Practice Address - Phone:310-319-4282
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA15177284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital