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Organization
REGENTS UNIV OF CALIF LOS ANGELES
Active
Organization
REGENTS UNIV OF CALIF LOS ANGELES
Active
Parent organization
REGENTS UNIV OF CALIF LOS ANGELES
Other names
UCLA West Med OBGYN
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS UNIV OF CALIF LOS ANGELES
Authorized official
TAMMY LEHR WALLACE (CHIEF FINANCIAL OFFICER)
(310) 794-8627
Entity
Organization
Contact information
Practice address
1010 VETERAN AVE, LOS ANGELES, CA 90024-2704
(310) 825-7955
Mailing address
10920 WILSHIRE BLVD STE 1700, LOS ANGELES, CA 90024-6542
(414) 617-5556
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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