Provider Demographics
NPI:1710972351
Name:UCLA SCHOOL OF NURSING HEALTH CENTER
Entity Type:Organization
Organization Name:UCLA SCHOOL OF NURSING HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:STREHLOW
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:213-673-4849
Mailing Address - Street 1:UCLA SCHOOL OF NURSING HEALTH CENTER AT URM
Mailing Address - Street 2:545 S SAN PEDRO ST
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90013-2101
Mailing Address - Country:US
Mailing Address - Phone:213-673-4849
Mailing Address - Fax:213-673-4581
Practice Address - Street 1:UCLA SCHOOL OF NURSING HEALTH CENTER AT URM
Practice Address - Street 2:545 S SAN PEDRO ST
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-2101
Practice Address - Country:US
Practice Address - Phone:213-673-4849
Practice Address - Fax:213-673-4581
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACMM70366FMedicaid