# REGENTS OF THE UNIVERSITY OF CALIFORNIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** UCLA ORTHOPEDIC SURGERY MED GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265856652
- **Authorized official:** KATHERINE HALE (DIRECTOR OF FINANCE)
- **Authorized official phone:** (310) 301-5311

## Contact information

- **Practice address:** 1131 WILSHIRE BLVD, SUITE 100, SANTA MONICA, CA 90401-2061
- **Practice address phone:** (424) 259-7000
- **Mailing address:** 5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | CA | — |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | CA | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | — | CA | — |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | — | CA | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | CA | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | CA | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | CA | — |
| 207XX0801X | Orthopaedic Trauma Physician | — | CA | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2014
- **Last updated:** 06/28/2024