UCLA Pathology Residency Program

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

UCLA PATHOLOGY RESIDENCY PROGRAM

Practice address

UCLA Medical Center CHS
Box 951732
Los Angeles, CA 90095-1732

Phone

(808) 722-1279

NPI assigned

Apr 6, 2014

Last updated

Apr 6, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anetta Pierro

Title

Education Administrator

Phone

(310) 825-5719

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Koo, MD

  • Anatomic Pathology Physician
  • Los Angeles, CA
  • NPI 1386062347
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396742400000",
    "number": "1548688583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCLA MEDICAL CENTER CHS",
            "address_2": "BOX 951732",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCLA MEDICAL CENTER CHS",
            "address_2": "BOX 951732",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951732",
            "telephone_number": "808-722-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCLA PATHOLOGY RESIDENCY PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-06",
        "last_updated": "2014-04-06",
        "status": "A",
        "authorized_official_last_name": "PIERRO",
        "authorized_official_first_name": "ANETTA",
        "authorized_official_title_or_position": "EDUCATION ADMINISTRATOR",
        "authorized_official_telephone_number": "310-825-5719"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• UCLA Medical Group
• UCLA Oral Pathology
• UCLA Orofacial Pain Center
• UCLA Pathology and Laboratory Medicine Group (UC Regents UCLA Pathology & Lab Med Grp)
• UCLA Pathology Residency Program
• UCLA Pediatric Dentistry
• UCLA Pediatrics
• UCLA Periodontal Clinic
• UCLA Pharmacy Parenteral Thrpy (UCLA Home Infusion Pchy)
• UCLA Psychology Clinic

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.