Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES
Active
Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HALE (FINANCE DIRECTOR)
(310) 301-5311
Entity
Organization
Contact information
Practice address
11303 W WASHINGTON BLVD, SUITE 100, LOS ANGELES, CA 90066-6003
(310) 391-7281
Mailing address
FILE 2939, LOS ANGELES, CA 90074-2939
(310) 206-3500
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609194497
—
CO
Enumeration date
05/04/2010
Last updated
10/06/2020
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