# REGENTS OF THE UNIVERSITY OF CALIFORNIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UCLA Pharm & Nm Practice Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851463723
- **Authorized official:** CHRISTINE WANG (CAO)
- **Authorized official phone:** (310) 267-1188

## Contact information

- **Practice address:** 200 MEDICAL PLZ, SUITE B114, LOS ANGELES, CA 90095-8344
- **Practice address phone:** (310) 794-9513
- **Practice address fax:** (310) 267-2538
- **Mailing address:** 5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
- **Mailing address fax:** (310) 301-8751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207UN0903X | In Vivo & In Vitro Nuclear Medicine Physician | — | NULL | Yes |
| 207UN0903X | In Vivo & In Vitro Nuclear Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 01/08/2021
