Organization
REGENTS OF THE UNIV OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL ALVIN STATON (CHIEF FINANCIAL OFFICER)
(310) 267-9308
Entity
Organization
Contact information
Practice address
1250 16TH ST RM 3500, SANTA MONICA, CA 90404-1249
(310) 319-4090
(310) 319-4821
Mailing address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(310) 319-4338
(310) 319-4821
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
930000146
CA
Other
Enumeration date
04/06/2011
Last updated
01/31/2018
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