Organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Active
Other names
UCLA ENTERTAINMENT IND MEDGRP
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE A HALE (CHIEF FINANCIAL OFFICER)
(310) 301-5311
Entity
Organization
Contact information
Practice address
23861 MCBEAN PKWY STE E24, VALENCIA, CA 91355-4457
(661) 284-3100
(661) 290-3310
Mailing address
5767 W CENTURY BLVD, 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
CA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
09/21/2020
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