# THE REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gonda (Goldschmied) Vascular Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447218086
- **Authorized official:** KATHERINE HALE (DIRECTOR OF FINANCE)
- **Authorized official phone:** (310) 301-5311

## Contact information

- **Practice address:** 200 MEDICAL PLZ, SUITE \#530, LOS ANGELES, CA 90095-0001
- **Practice address phone:** (310) 206-6294
- **Mailing address:** 5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
- **Mailing address phone:** (310) 206-6294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 11/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0076140 | — | CA |