Provider Demographics
NPI:1205959426
Name:UCLA MEDICAL CENTER
Entity type:Organization
Organization Name:UCLA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CONTRERAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-825-7047
Mailing Address - Street 1:10833 LE CONTE AVE
Mailing Address - Street 2:17-153 CHS
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-1734
Mailing Address - Country:US
Mailing Address - Phone:310-825-7047
Mailing Address - Fax:310-794-6616
Practice Address - Street 1:10833 LE CONTE AVE
Practice Address - Street 2:17-153 CHS
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-1734
Practice Address - Country:US
Practice Address - Phone:310-825-7047
Practice Address - Fax:310-794-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access