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Organization

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Active
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Organization

REGENTS OF THE UNIVERSITY OF CALIFORNIA

Active
Other names
UCLA INTEGRATED PROVIDER NETWORK
Organization subpart
No

Provider details

NPI number
Authorized official
KATHERINE HALE (FINANCE DIRECTOR)
(310) 301-5311
Entity
Organization

Contact information

Practice address
100 UCLA MEDICAL PLAZA STE 460, LOS ANGELES, CA 90095-6970
(310) 433-8998
Mailing address
5767 W CENTURY BLVD, LOS ANGELES, CA 90045-5631

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223X2210X
Orofacial Pain Dentistry
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
213E00000X
Podiatrist
Primary
—
—

Other

Enumeration date
07/23/2013
Last updated
05/15/2026
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