Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA ENTERTAINMENT IND MEDGRP
Organization subpart
No
Provider details
NPI number
Authorized official
KHATERINE HALE (AUTHORIZED OFFICIAL)
(310) 301-5311
Entity
Organization
Contact information
Practice address
23388 MULHOLLAND DR, SUITE 260, WOODLAND HILLS, CA 91364-2733
(818) 876-4055
(818) 876-4094
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(818) 876-4055
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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