Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Organization
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA DEPT OF DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
KATHIE HALE (DIRECTOR)
(310) 301-5311
Entity
Organization
Contact information
Practice address
200 MEDICAL PLZ, SUITE 450,465, LOS ANGELES, CA 90095-0001
(310) 206-8694
(310) 794-7005
Mailing address
5767 W CENTURY BLVD SUITE 400, LOS ANGELES, CA 90074-5737
(310) 301-5200
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0055110
—
CA
05
—
GR0055111
—
CA
Enumeration date
03/15/2006
Last updated
04/10/2025
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