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 (FINANCIAL OFFICER)
(310) 301-5311
Entity
Organization
Contact information
Practice address
10833 LE CONTE AVE, # A0-156 CHS, LOS ANGELES, CA 90095-1668
(310) 825-0834
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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