Organization Name: | OLIVE VIEW UCLA MEDICAL CENTER |
NPI Number: | 1508924945 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RIMA MATEVOSIAN (CHIEF, DEPARTMENT OF ANESTHESIOLOG) |
Mailing Address: | 10125 Bromont Ave Sun Valley |
State: | CA US |
Postal Code: | 913521147 |
Phone Number: | 8182525686 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | A69455 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |