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Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA PEDIATRIC SURGERY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (FINANCE DIRECTOR)
(310) 301-5311
Entity
Organization
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 265, LOS ANGELES, CA 90095-8344
(310) 206-2429
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
NULL
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0065440
—
CA
Enumeration date
04/26/2006
Last updated
09/26/2025
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