# UCLA RONALD REAGAN HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811390040
- **Authorized official:** NORMA TIEDGE II NP (NP II)
- **Authorized official phone:** (310) 267-7610

## Contact information

- **Practice address:** 12302 WILLOW SPRING DR, MOORPARK, CA 93021-2780
- **Practice address phone:** (310) 267-7610
- **Mailing address:** 757 WESTWOOD PLAZA, LOS ANGELES, CA 90095
- **Mailing address phone:** (310) 267-7610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 95001281 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2014
- **Last updated:** 10/02/2014