ROME JUTABHA MD PROF CORP (NPI# 1073798286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073798286 |
| Entity Type | Organization |
| Organization Name | ROME JUTABHA MD PROF CORP |
| Practice Address |
100 Ucla Medical Plaza Suite 310 Los Angeles CA 90095-0001 |
| Practice Telephone | 3108255037 |
| Practice Fax Number | 3102060495 |
| Mailing Telephone | 3108255037 |
| Mailing Fax Number | 3102060495 |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |
| Authorized Official Name | MISS ARLAENA L BEANE (COLLECTIONS MANAGER) |
| Authorized Official Telephone | 3108255037 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
G68613 | CA | Ambulatory Health Care Facilities |
| Street Address |
100 UCLA MEDICAL PLAZA SUITE 310 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144209453 | Richard A Strick Md Inc | Dermatology | 100 Ucla Medical Plaza, # 660, Los Angeles, CA 90095-6994 | 2006-01-13 |
| 1982920955 | Perry Richard Klokkevold | Dentist | 100 Ucla Medical Plaza, Suite #320, Los Angeles, CA 90095-1668 | 2010-04-15 |
| 1356582746 | Jeffrey Robert Lewis | Internal Medicine | 100 Ucla Medical Plaza, Suite 700, Los Angeles, CA 90095 | 2009-03-13 |
| 1952550378 | Robert Hyman Brofman | Psychiatry & Neurology | 100 Ucla Medical Plaza, Suite 225, Los Angeles, CA 90024 | 2008-09-10 |
| 1508062654 | Kevin Ghassemi | Internal Medicine | 100 Ucla Medical Plaza, Suite 700, Los Angeles, CA 90095-6970 | 2007-06-25 |
| 1790988061 | Breanna M Czenczelewski | Physical Therapist | 100 Ucla Medical Plaza, Suite 440, Los Angeles, CA 90095 | 2007-06-06 |
| 1306928668 | Amir Azarnivar | Internal Medicine | 100 Ucla Medical Plaza, Suite 522, Los Angeles, CA 90024 | 2006-10-19 |
| 1376631119 | Allison J Kean | Internal Medicine | 100 Ucla Medical Plaza, #630, Los Angeles, CA 90095-6988 | 2006-10-10 |
| 1447351499 | S.a.m Medicine Inc. | Pharmacist | 100 Ucla Medical Plaza, Suite 150, Los Angeles, CA 90024-6970 | 2006-09-25 |
| 1871690354 | University Sports Medicine & Orthopedic Surgery | Orthopaedic Surgery | 100 Ucla Medical Plaza, Suite 440, Los Angeles, CA 90095 | 2006-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212155 | Alexandra Gubin | Social Worker | Ucla, 757 Westwood Medical Plaza, Los Angeles, CA 90095 | 2020-07-14 |
| 1952926263 | Georgina Parra | Student in an Organized Health Care Education/Training Program | 10833 Le Conteave, Los Angeles, CA 90095 | 2020-06-11 |
| 1609403575 | Yagmur Muftuoglu | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Neurosurgery, Los Angeles, CA 90095 | 2020-03-23 |
| 1619438173 | Brandon Covington Smith | Student in an Organized Health Care Education/Training Program | 727 Westwood Plaza, Dept of Internal Medicine, Los Angeles, CA 90095 | 2019-03-27 |
| 1184184913 | Alexander Daniel Yuen | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza (internal Medicine), Los Angeles, CA 90095 | 2019-03-19 |
| 1790266369 | Dana Saifan | Student in an Organized Health Care Education/Training Program | 1000 Veteran Avenue, Los Angeles, CA 90095 | 2018-08-22 |
| 1427549146 | Courtney Renee' Real | Registered Nurse | 757 Westwood Plz Ste 6236, Los Angeles, CA 90095 | 2018-05-29 |
| 1932605094 | Akash Atul Shah | Student in an Organized Health Care Education/Training Program | Ucla Department of Orthopaedic Surgery, 10833 Le Conte Avenue, 76-116 Chs, Los Angeles, CA 90095 | 2018-04-05 |
| 1316443435 | Dane Jensen Brodke | Orthopaedic Surgery | 757 Westwood Plaza, (orthopaedic Surgery), Los Angeles, CA 90095 | 2018-04-05 |
| 1477058824 | Thomas William Gaither Castellanos | Student in an Organized Health Care Education/Training Program | 757 Westwood Plaza, Urology, Los Angeles, CA 90095 | 2018-03-28 |
| Find all providers in zip 90095 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| 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). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807213 | Drmsh Corp | Clinic/Center | 2045 Thayer Ave, Los Angeles, CA 90025-5926 | 2020-07-01 |
| 1164805487 | Medical Spa Retreat, Inc | Clinic/Center | 3523 W Olympic Blvd Fl 2, Los Angeles, CA 90019-3502 | 2015-07-06 |
| 1386022267 | Barbara Roces | Clinic/Center | 349 S Orange Grove Ave, Los Angeles, CA 90036-3103 | 2015-05-12 |
| 1477803450 | Childrens Hospital of Los Angeles | Clinic/Center | 4650 W Sunset Blvd # 61, Los Angeles, CA 90027-6062 | 2012-09-17 |
| 1457563629 | Gastroenterology Associates of Southern California | Clinic/Center | 1701 Cesar Chavez Blvd., Suite 307, Los Angeles, CA 90033 | 2007-05-03 |
| 1114088267 | Alexandr P. Ford, M.d. | Clinic/Center | 1125 S Beverly Dr Ste 700, Los Angeles, CA 90035-1148 | 2006-12-13 |
| 1487667002 | Carl Lauryssen Md Prof Corp. | Clinic/Center | 8201 Beverly Blvd Ste 405, Los Angeles, CA 90048-4505 | 2006-08-14 |
| 1922019348 | Seung M Lee | Clinic/Center | 2030-1 W Pico Blvd, Los Angeles, CA 90006-5011 | 2006-08-10 |
| 1679197123 | Zp Medical Services, PC | Clinic/Center | 12121 Wilshire Blvd, Los Angeles, CA 90025-1123 | 2020-06-01 |
| 1538792247 | La Laser Center PC, A Professional Medical Corporation | Clinic/Center | 10884 Santa Monica Blvd Fl 3, Los Angeles, CA 90025-7638 | 2020-02-20 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90095 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.