OrganizationActive
Rome Jutabha MD Prof Corp
NPI 1073798286 · Medical Specialty Clinic/Center · Los Angeles, CA
Provider details
- NPI number
- 1073798286
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Arlaena Beane, Collections Manager(310) 825-5037
- License
- G68613 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Ucla Medical Plaza
Suite 310
Los Angeles, CA 90095-0001
Phone: (310) 825-5037
Fax: (310) 206-0495
Street-level locationGet directions
Mailing address
100 Ucla Medical Plaza
Los Angeles, CA 90095-0001
Registry dates
- Enumerated
- 2008-01-07
- Last updated
- 2008-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.