# REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCLA Integrated Provider Network
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376429266
- **Authorized official:** KATHERINE HALE (FINANCIAL OFFICER)
- **Authorized official phone:** (310) 301-5311

## Contact information

- **Practice address:** 714 TIVERTON AVE RM A0-156, LOS ANGELES, CA 90095-8361
- **Practice address phone:** (310) 825-6510
- **Mailing address:** 5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2025
- **Last updated:** 10/13/2025