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Organization

REGENTS UNIV OF CALIF LOS ANGELES

Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Other names
Ronald Reagan UCLAMC
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
MR. PAUL ALVIN STATON (CFO)
(310) 267-9308
Entity
Organization

Contact information

Practice address
200 UCLA MEDICAL PLZ, SUITE135, LOS ANGELES, CA 90095-8344
(310) 267-9308
(310) 267-3516
Mailing address
10920 WILSHIRE BLVD STE 1700, LOS ANGELES, CA 90024-6542
(310) 794-6129
(310) 794-8399

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
40977
CA

Other

Enumeration date
05/06/2009
Last updated
11/06/2009
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