Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA Neurology Group Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (DIRECTOR OF FINANCE)
(310) 301-5311
Entity
Organization
Contact information
Practice address
1801 WILSHIRE BLVD STE 100, SANTA MONICA, CA 90403-5609
(310) 319-5098
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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