MARK JOSEPH AJALAT
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1487158168- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 200 UCLA MEDICAL PLZ STE 526, LOS ANGELES, CA, 900958358
- Phone
- (310) 206-6294
Specialties & Taxonomies
Unknown
Primary License: CA #A164475
All Addresses
MAILING
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA, 900455631