# REGENTS OF UNIVERSITY OF CALIFORNIA SIMMS MANN UCLA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reflections Boutique
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083788038
- **Authorized official:** DR. ANNE COSCARELLI PHD (DIRECTOR)
- **Authorized official phone:** (310) 794-9090

## Contact information

- **Practice address:** 200 UCLA MEDICAL PLZ STE 163, LOS ANGELES, CA 90095-6934
- **Practice address phone:** (310) 794-9090
- **Mailing address:** 200 UCLA MEDICAL PLZ STE 163, LOS ANGELES, CA 90095-6934
- **Mailing address phone:** (310) 794-9090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/20/2006
- **Last updated:** 02/27/2012
