UTI-EHRLICH MEDICAL GROUP (NPI# 1780707737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780707737 |
| Entity Type | Organization |
| Organization Name | UTI-EHRLICH MEDICAL GROUP |
| Practice Address |
100 Ucla Medical Plz Suite 690 Los Angeles CA 90095-0001 |
| Practice Telephone | 3108256865 |
| Practice Fax Number | 3102066600 |
| Mailing Telephone | 3108256865 |
| Mailing Fax Number | 3102066600 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-07-18 |
| Authorized Official Name | JUDIE GARNETT (MANAGER) |
| Authorized Official Telephone | 3108256865 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
G14024 | CA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | G14024 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLIA | 05D0962904 | 01 |
| Street Address |
100 UCLA MEDICAL PLZ SUITE 690 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90095-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172313 | Robynn Goldstein | Nurse Practitioner | 100 Ucla Medical Plz, Suite 770, Los Angeles, CA 90024-6970 | 2005-08-29 |
| 1851823082 | Bo Yu | Dentist | 100 Ucla Medical Plz, Ste 350, Los Angeles, CA 90024-6970 | 2017-03-28 |
| 1467909473 | Lauren Marie Wilstein | Registered Nurse | 100 Ucla Medical Plz, Suite 730, Los Angeles, CA 90024-6970 | 2016-09-07 |
| 1265886519 | Yangpei Cao | Dentist | 100 Ucla Medical Plz, Suite 350, Los Angeles, CA 90024-6970 | 2016-04-22 |
| 1851755060 | Rhusheet Patel | Surgery | 100 Ucla Medical Plz, Suite 630, Los Angeles, CA 90024-6970 | 2016-04-13 |
| 1255704235 | Lauren Maddahi | Dietitian, Registered | 100 Ucla Medical Plz, Suite 410, Los Angeles, CA 90024-6970 | 2015-11-12 |
| 1750785028 | Richard Gerald Ness | Psychiatry & Neurology | 100 Ucla Medical Plz, Suite 725, Los Angeles, CA 90024-6970 | 2014-10-15 |
| 1124447040 | Barry I. Ludwig, M.d. Inc. | Psychiatry & Neurology | 100 Ucla Medical Plz, 425, Los Angeles, CA 90095-1381 | 2014-04-08 |
| 1528484557 | Jessica Ulrich | Nurse Practitioner | 100 Ucla Medical Plz, Suite 760, Los Angeles, CA 90024-6970 | 2014-03-14 |
| 1326486770 | Ryan Aronin | Internal Medicine | 100 Ucla Medical Plz, Suite 490, Los Angeles, CA 90095-3075 | 2013-06-07 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689092728 | Fuad Fredric Elkhoury | Urology | 200 Med Plaza, Suite 140, Los Angeles, CA 90048 | 2014-04-05 |
| 1457778763 | Boston Medical Group California, L.L.C. | Urology | 9911 W. Pico Blvd, Suite 1215, Los Angeles, CA 90035 | 2014-03-25 |
| 1700219532 | Erwin Robert Blum | Urology | 3224 S Bentley Ave, Los Angeles, CA 90034-5204 | 2013-08-15 |
| 1851637235 | Andre Berger | Urology | 1516 San Pablo Street, Los Angeles, CA 90089-0112 | 2012-12-12 |
| 1548537335 | Kiran Gollapudi | Urology | Ucla Urology 10833 Le Conte Ave, 66-124 Chs, Los Angeles, CA 90095-0001 | 2011-11-21 |
| 1154632602 | Arash Akhavein Mohammadi | Urology | 8631 W 3rd St Ste 715e, Los Angeles, CA 90048 | 2010-06-30 |
| 1639307333 | Francis Thomas Greene | Urology | 603 N. June St, Los Angeles, CA 90004-1011 | 2009-07-01 |
| 1225278211 | Timothy John Daskivich | Urology | Chs 66 124, 10833 Leconte Ave, Los Angeles, CA 90095-0001 | 2009-03-03 |
| 1851562144 | Jonathan Bergman | Urology | 11907 Darlington Avenue #202, Los Angeles, CA 90049 | 2008-03-14 |
| 1023292851 | Pejvak Sassani | Urology | 4900 W Sunset Blvd Fl 2, Los Angeles, CA 90027-5814 | 2007-12-28 |
| 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.