Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA DEPT OF MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (DIRECTOR OF ACCOUNTING)
(310) 301-5311
Entity
Organization
Contact information
Practice address
248 HAMPSHIRE RD STE 210, THOUSAND OAKS, CA 91361-2401
(805) 370-0040
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2022
Last updated
08/09/2023
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