OrganizationActive
Ucla Pediatrics
NPI 1255528055 · Clinical & Laboratory Immunology (Allergy & Immunology) Physician · Los Angeles, CA
Provider details
- NPI number
- 1255528055
- Entity type
- Organization
- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ucla Department of Pediatrics Group Practice
- Organization subpart
- Yes
- Authorized official
- Gary Rachelefsky, Director; Executive for Caard(310) 206-3952
- License
- G22339 (CA)
Specialties & taxonomies
- Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianPrimary207KI0005XLicense G22339 (CA)
Allopathic & Osteopathic Physicians
Practice location
200 Med Plz
Ste 140-17
Los Angeles, CA 90095-3075
Phone: (310) 206-3952
Fax: (310) 206-0209
Approximate (ZIP-level) locationGet directions
Mailing address
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Other names (DBA / former)
- Former legal business name
- Ucla Pediatrics-Gary Rachelefsky
Registry dates
- Enumerated
- 2007-09-26
- Last updated
- 2011-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.