Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA Neurology Group Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (FINANCE DIRECTOR)
(310) 301-5311
Entity
Organization
Contact information
Practice address
300 UCLA MEDICAL PLZ STE B200, LOS ANGELES, CA 90095-8346
(310) 794-1195
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0056050
—
CA
Enumeration date
05/03/2006
Last updated
04/02/2024
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