Organization
REGENTS OF THE UNIV OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE ZALBA (DIRECTOR, PHARMACEUTICAL SERV)
(310) 267-8500
Entity
Organization
Contact information
Practice address
1223 16TH ST RM 1202, SANTA MONICA, CA 90404-1217
(424) 259-8520
(424) 259-8524
Mailing address
1223 16TH ST RM 1202, SANTA MONICA, CA 90404-1217
(424) 259-8520
(424) 259-8524
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50897
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396010609
—
CA
01
—
2134261
PK
—
Enumeration date
03/20/2012
Last updated
01/30/2018
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