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Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA ENTERTAINMENT IND MEDGRP
Organization subpart
No
Provider details
NPI number
Authorized official
KHATERINE HALE (AUTHORIZED OFFICIAL)
(310) 301-5311
Entity
Organization
Contact information
Practice address
23388 MULHOLLAND DR, SUITE 260, WOODLAND HILLS, CA 91364-2733
(818) 876-4055
(818) 876-4094
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(818) 876-4055
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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