# REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCLA Integrated Provider Network
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104644988
- **Authorized official:** KATHERINE HALE (FINANCIAL OFFICER)
- **Authorized official phone:** (310) 301-5311

## Contact information

- **Practice address:** 10833 LE CONTE AVE, \# A0-156 CHS, LOS ANGELES, CA 90095-1668
- **Practice address phone:** (310) 825-0834
- **Mailing address:** 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/30/2024
- **Last updated:** 09/30/2024