Organization
REGENTS UNIVERSITY OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN P. ZUNNER-KEATING (DIRECTOR)
(424) 259-6338
Entity
Organization
Contact information
Practice address
2211 MICHIGAN AVE, SANTA MONICA, CA 90404-3905
(424) 259-6338
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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