Individual provider · NPI-1

Dr. Anne L. Ackerman, M.D.

Urology, Urogynecology and Reconstructive Pelvic Surgery · Los Angeles, CA

NPI number1760610711

StatusActive

Last updated in NPPESOct 29, 2020

Details

NPI: 1760610711
Entity type: Individual (NPI-1)
Name: Dr. Anne L. Ackerman
Credential: M.D.
Sex: Female
Sole proprietor: Yes
Enumeration date: Jun 29, 2009
Certification date: Oct 29, 2020
Last updated: Oct 29, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2088F0040X	Urology, Urogynecology and Reconstructive Pelvic Surgery	A112910	CA	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

200 Ucla Medical Plz Ste 140
Los Angeles, CA 90095-2222

Phone 310-794-7700

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice locations

99 N La Cienega Blvd
Suite 307
Beverly Hills, CA 90211-2222

Phone 310-385-2992 · Fax 310-385-2975

1245 16th St Ste 202
Santa Monica, CA 90404-1240

Phone 833-825-2974

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