Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
Gonda (Goldschmied) Vascular Center
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (DIRECTOR OF FINANCE)
(310) 301-5311
Entity
Organization
Contact information
Practice address
200 MEDICAL PLZ, SUITE #530, LOS ANGELES, CA 90095-0001
(310) 206-6294
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 206-6294
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0076140
—
CA
Enumeration date
05/03/2006
Last updated
11/25/2020
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