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Organization
REGENTS UNIV OF CALIF OF LOS ANGELES
Active
Organization
REGENTS UNIV OF CALIF OF LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD A DAVIS (CHIEF FINANCIAL OFFICER)
(310) 794-8627
Entity
Organization
Contact information
Practice address
200 MEDICAL PLAZA SUITE 120, LOS ANGELES, CA 90095-0001
(310) 206-6931
Mailing address
757 WESTWOOD PLZ STE 1320, LOS ANGELES, CA 90095-7400
(310) 267-9308
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902803315
—
CA
Enumeration date
09/08/2017
Last updated
01/30/2018
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