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

UCLA Department of Pediatric Group Practice

Organization Pediatric Registered Nurse · NPI 1093025355

UCLA Department of Pediatric Group Practice is a Pediatric Registered Nurse in Los Angeles, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
2

Practice location Address checks out

200 Medical Plz Ste 265
Los Angeles, CA 90095-0001
Phone: (310) 825-0867
Fax: (310) 206-5146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 19341 (CA)
Pediatric Registered Nurse Taxonomy 163WP0200X · Licence 677319 (CA)

Record details

NPI number1093025355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sherin Devaskar — Interim Executive Chair · (310) 825-5095
NPI enumeratedOctober 20, 2010
Last updated in NPPESOctober 20, 2010
Mailing address10833 Le Conte Ave, 22-474 Mdcc, Los Angeles, CA 90095-1752

Other providers in Los Angeles