Organization
REGENTS UNIVERSITY OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (DIRECTOR OF ACCOUNTING)
(310) 301-5311
Entity
Organization
Contact information
Practice address
2211 MICHIGAN AVE, SANTA MONICA, CA 90404-3905
(310) 586-9000
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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