Organization
REGENTS UNIV OF CALIF LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY LEHR WALLACE (CFO)
(310) 794-8627
Entity
Organization
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 130, LOS ANGELES, CA 90095-8344
(310) 267-8503
Mailing address
757 WESTWOOD PLZ # B531, LOS ANGELES, CA 90095-8358
(310) 267-8503
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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