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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