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 STREET, EMERGENCY DEPARTMENT - 1ST FL G543, SANTA MONICA, CA 90404-1101
(424) 259-8405
(424) 259-6758
Mailing address
1250 16TH ST, SANTA MONICA, CA 90404-1249
(424) 259-8365
(424) 259-6626
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
930000146
CA
Other
Enumeration date
05/01/2012
Last updated
01/31/2018
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