institution
Rome Jutabha Md Prof Corp
Medical Specialty Clinic/Center in Los Angeles, California
NPI 1073798286

Rome Jutabha Md Prof Corp is a Medical Specialty Clinic/Center based in Los Angeles, CA and is specialized in Medical Specialty. Rome Jutabha Md Prof Corp practices in Los Angeles, CA. The NPI Number for Rome Jutabha Md Prof Corp is 1073798286 and holds a License No. G68613 (California).

The current practice location address for Rome Jutabha Md Prof Corp is 100 Ucla Medical Plaza, Los Angeles, CA and can be reached out via phone at 310-825-5037 and via fax at 310-206-0495.

Location: 100 Ucla Medical Plaza, Los Angeles, CA, 90095-0001
institution
Provider Profile Details
NPI Number
1073798286
Provider Name
Rome Jutabha Md Prof Corp
Credential
Provider Entity Type
Organization
Address
100 Ucla Medical Plaza, Los Angeles, CA, 90095-0001
Phone Number
310-825-5037
Fax Number
310-206-0495
Provider Enumeration Date
01/07/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 Ucla Medical Plaza
City
State
Zip
90095-0001
Phone Number
310-825-5037
Fax Number
310-206-0495
person
Provider Business Mailing Address Details
Address
100 Ucla Medical Plaza
City
State
Zip
90095-0001
Phone Number
310-825-5037
Fax Number
310-206-0495
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
G68613 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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