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Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA Integrated Provider Network
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (FINANCIAL OFFICER)
(310) 301-5311
Entity
Organization
Contact information
Practice address
10833 LE CONTE AVE, # A0-156 CHS, LOS ANGELES, CA 90095-1668
(310) 825-0834
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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