# THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366041469
- **Authorized official:** BROOKE SOUHRADA (DIRECTOR)
- **Authorized official phone:** (661) 255-2420

## Contact information

- **Practice address:** 4343 LANKERSHIM BLVD STE 210, NORTH HOLLYWOOD, CA 91602-2705
- **Practice address phone:** (818) 843-9038
- **Mailing address:** 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
- **Mailing address phone:** (310) 301-5256

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2020
- **Last updated:** 10/20/2020