Organization
REGENTS UNIV OF CALIF LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD A DAVIS (CFO UCLA HOSPITAL SYSTEM)
(310) 794-8627
Entity
Organization
Contact information
Practice address
200 MEDICAL PLAZA SUITE 426, LOS ANGELES, CA 90095
(310) 794-7458
(310) 794-7463
Mailing address
PHARMACY BUSINESS OFFICE, 757 WESTWOOD PLAZA, ROOM B504E, LOS ANGELES, CA 90095-7423
(310) 794-7458
(310) 794-7463
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHE40975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142156454
—
CA
05
—
1427156454
—
CA
01
—
1992436
PK
—
05
—
PH0000237
—
CA
Enumeration date
09/21/2006
Last updated
06/25/2018
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