# THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCLA DEPT OF MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205566544
- **Authorized official:** KATHERINE HALE (DIRECTOR OF ACCOUNTING)
- **Authorized official phone:** (310) 301-5311

## Contact information

- **Practice address:** 248 HAMPSHIRE RD STE 210, THOUSAND OAKS, CA 91361-2401
- **Practice address phone:** (805) 370-0040
- **Mailing address:** 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/10/2022
- **Last updated:** 08/09/2023