# REGENTS UNIV OF CALIF LOS ANGELES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** REGENTS UNIV OF CALIF LOS ANGELES
- **Other names:** UCLA West Med OBGYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366275844
- **Legal business name:** REGENTS UNIV OF CALIF LOS ANGELES
- **Authorized official:** TAMMY LEHR WALLACE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (310) 794-8627

## Contact information

- **Practice address:** 1010 VETERAN AVE, LOS ANGELES, CA 90024-2704
- **Practice address phone:** (310) 825-7955
- **Mailing address:** 10920 WILSHIRE BLVD STE 1700, LOS ANGELES, CA 90024-6542
- **Mailing address phone:** (414) 617-5556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2024
- **Last updated:** 08/21/2024