Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA DEPT OF MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (DIRECTOR OF ACCOUNTING)
(310) 301-5311
Entity
Organization
Contact information
Practice address
2780 SKYPARK DR, SUITE 135, TORRANCE, CA 90505-5341
(310) 301-8707
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2017
Last updated
06/23/2021
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