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Organization

REGENTS OF THE UNIV OF CALIFORNIA

Active
Other names
Santa MonicaUCLAMC and Orthopedic Hospital
Organization subpart
No

Provider details

NPI number
Authorized official
TAMMY LEHR WALLACE (CFO)
(310) 267-9307
Entity
Organization

Contact information

Practice address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 267-9308
(310) 267-3516
Mailing address
10920 WILSHIRE BLVD, SUITE 1700, LOS ANGELES, CA 90024-6502
(310) 948-7371

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
930000146
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4802080001
DURABLE MEDICAL EQUIPMENT, PROSTHETICS, ORTHOTICS AND SUPPLIES
CA
05
HSC30112H
CA
05
HSC40112H
CA
05
ZZT30112H
CA
05
ZZT30112W
CA
05
ZZT40112W
CA
Enumeration date
06/30/2005
Last updated
03/04/2025
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