Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jul 1, 2015
License(s)
BP10053395 (TX), A170363 (CA), A170363 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 100 UCLA MEDICAL PLZ STE 755 | Los Angeles, CA 90024-6990 | 310-319-1234 |
| MAILING | 5767 W CENTURY BLVD STE 400 | Los Angeles, CA 90045-5631 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.