Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rome Jutabha MD Prof Corp

Organization Medical Specialty Clinic/Center · NPI 1073798286

Rome Jutabha MD Prof Corp is a Medical Specialty Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 UCLA Medical Plz Ste 310
Los Angeles, CA 90095-0001
Phone: (310) 825-5037
Fax: (310) 206-0495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence G68613 (CA)

Record details

NPI number1073798286
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Arlaena Beane — Collections Manager · (310) 825-5037
NPI enumeratedJanuary 7, 2008
Last updated in NPPESJanuary 7, 2008
Mailing address100 Ucla Medical Plaza, Suite 310, Los Angeles, CA 90095-0001

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