Organization
REGENTS UNIV OF CALIF LOS ANGELES
Active
Organization
REGENTS UNIV OF CALIF LOS ANGELES
Active
Other names
UCLA School of Nursing Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ADELINE NYAMATHI ANP, PHD, FAAN (ADMINISTRATOR/ASSOCIATE DEAN)
(310) 206-7433
Entity
Organization
Contact information
Practice address
545 S SAN PEDRO ST, LOS ANGELES, CA 90013-2101
(213) 673-4849
(213) 673-4581
Mailing address
545 S SAN PEDRO ST, LOS ANGELES, CA 90013-2101
(213) 673-4849
(213) 673-4581
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
960000279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP70366F
EAPC EXPANDED ACCESS TO PRIMARY CARE
CA
Enumeration date
06/09/2008
Last updated
02/04/2016
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